NPI 1063031490

Brooks Lee Vial, PAC

Practitioner Physician Assistant Metairie, LA

Practice location

Address: 3939 Houma Blvd STE 21, Metairie, LA 70006-2921
Phone: (985) 212-4286

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1063031490
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2020
Record last updated: 8 Jun 2020

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.