Whalio Doctors

NPI 1902119373

Jason Cormier MD Professional Medical Corporation

Organisation Neurological Surgery Physician Lafayette, LA

Practice location

Address
4906 Ambassador Caffery Pkwy Suite 1302, Lafayette, LA 70508-6962
Phone
(337) 235-7743
Mailing address
PO Box 82441, Lafayette, LA 70598-2441

Authorised official

Name
Jason Cormier
Title
Owner
Phone
(337) 235-7743

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 203951 (LA)

Registry record

NPI
1902119373
Entity type
Organization
NPI issued
14 Jul 2010
Record last updated
14 Jul 2010

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.