| Physical Medicine Center | |
|
401 N College Rd Ste 3&4 Lafayette LA 70506-4263 | |
| (337) 233-5230 | |
| (337) 233-5270 |
| Full Name | Physical Medicine Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 401 N College Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Derek Todd David (OWNER) |
| Authorized Official Contact | 3372335230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Medicine Center 401 N College Rd Ste 3&4 Lafayette LA 70506-4263 Ph: (337) 233-5230 | Physical Medicine Center 401 N College Rd Ste 3&4 Lafayette LA 70506-4263 Ph: (337) 233-5230 |
| NPI Number | 1396742953 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396742953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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