NPI 1215372594

Woman's Clinic of Iberia

Organisation Preferred Provider Organization Broussard, LA

Practice location

Address: 811 Albertson Pkwy Suite F, Broussard, LA 70518-5256
Phone: (337) 330-2386
Mailing address: 2309 East Main Street Suite 500, New Iberia, LA 70560

Authorised official

Name: Marttha L Coppage
Title: Vice President
Phone: (337) 364-2383

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 022088 (LA)

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Registry record

NPI: 1215372594
Entity type: Organization
NPI issued: 1 May 2013
Record last updated: 6 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.