South Louisiana Surgical Association, LLC
NPI #1023148855 in New Iberia, Louisiana
Provider Information
- NPI Number
- 1023148855
- Entity Type
- Organization
- Organization Name
- South Louisiana Surgical Association, LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1100 ANDRE ST STE 101
- City
- New Iberia
- State
- Louisiana
- ZIP Code
- 70563-2159
- Phone
- (337) 369-9309
Authorized Official
- Name
- DR. EDWARD W DAUTERIVE JR., M.D.
- Title
- M.D.
- Phone
- (337) 369-9309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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