Robert Marriott Medical Corp

NPI #1093266553 in Lafayette, Louisiana

Provider Information

NPI Number: 1093266553
Entity Type: Organization
Organization Name: Robert Marriott Medical Corp
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANTAGE WOUND CARE
Primary Specialty: Surgery
Enumeration Date: Oct 19, 2016
Last Updated: Nov 8, 2018

Practice Location

Address: 103 W MARTIAL AVE
City: Lafayette
State: Louisiana
ZIP Code: 70508-6719
Phone: (877) 878-3289

Authorized Official

Name: ROBERT J MARRIOTT, MD
Title: CEO
Phone: (877) 878-3289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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