Judd Tanner Broussard, CRNA

NPI #1073612693 in Lafayette, Louisiana

Provider Information

NPI Number
1073612693
Entity Type
Individual
Name
Judd Tanner Broussard, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Sep 21, 2006
Last Updated
Jul 29, 2010

Practice Location

Address
1103 KALISTE SALOOM RD
Address 2
SUITE 304
ZIP Code
70508-5783
Phone
(337) 988-5646

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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