NPI 1679896732

Bariatric & Advanced Surgical

Organisation Surgery Physician Thibodaux, LA

Practice location

Address: 604 N Acadia Rd Suite 406, Thibodaux, LA 70301-4897
Phone: (985) 446-2524
Fax: (985) 447-2329

Authorised official

Name: James P Viglainco
Title: Manager
Phone: (985) 446-2524

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD.203566 (LA)

Other Surgery providers in Louisiana →

Registry record

NPI: 1679896732
Entity type: Organization
NPI issued: 3 Mar 2010
Record last updated: 25 May 2011

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.