NPI 1003365636

Christopher Troy Bamburg, PAC

Practitioner Medical Physician Assistant Coushatta, LA

Practice location

Address: 1635 Marvel St, Coushatta, LA 71019-9022
Phone: (318) 932-2000
Mailing address: 200 Corporate Blvd, Lafayette, LA 70508-3870

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 303579 (LA)

Other Physician Assistant providers in Louisiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 303579 (LA)

Registry record

NPI: 1003365636
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2016
Record last updated: 3 Jul 2019

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.