Heather Bronaugh, Md, LLC

NPI #1215127824 in Slidell, Louisiana

Provider Information

NPI Number: 1215127824
Entity Type: Organization
Organization Name: Heather Bronaugh, Md, LLC
Primary Specialty: Surgery
Enumeration Date: Jul 30, 2007
Last Updated: Nov 23, 2010

Practice Location

Address: 1051 GAUSE BLVD STE 260
City: Slidell
State: Louisiana
ZIP Code: 70458-2992
Phone: (985) 781-9002

Authorized Official

Name: DR. HEATHER RAE BRONAUGH, M.D.
Title: PRESIDENT/OWNER
Phone: (985) 781-9002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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