Whalio Doctors

NPI 1003880956

Dustin Rand Goudeau, PAC

Practitioner Physician Assistant Alexandria, LA

Practice location

Address
3351 Masonic Dr, Alexandria, LA 71301-3842
Phone
(318) 473-9556
Fax
(318) 441-8339

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAA10612 (LA)

Registry record

NPI
1003880956
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Feb 2006
Record last updated
10 Dec 2009

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.