Whalio Doctors

NPI 1144211632

Heather Rae Bronaugh, MD

Practitioner Surgery Physician Slidell, LA

Practice location

Address
1051 Gause Blvd STE 410, Slidell, LA 70458-2995
Phone
(985) 280-9002
Fax
(985) 781-0200

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 025950 (LA)

Registry record

NPI
1144211632
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Nov 2005
Record last updated
22 Jan 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.