Shane T Broussard, P.A.
NPI #1164468435 in Lafayette, Louisiana
Provider Information
- NPI Number
- 1164468435
- Entity Type
- Individual
- Name
- Shane T Broussard, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Feb 3, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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