MR. Keith Michael Poche, PHYSICIAN ASSISTANT

NPI #1073626719 in Houma, Louisiana

Provider Information

NPI Number
1073626719
Entity Type
Individual
Name
MR. Keith Michael Poche, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Aug 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1750 MARTIN LUTHER KING BLVD.,
Address 2
SUITE 107
City
Houma
ZIP Code
70360
Phone
(985) 851-0118

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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