CHRISTOPHER TROY BAMBURG

COUSHATTA, LA
NPI1003365636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  303579)
Additional Taxonomies363A00000X Physician Assistant
(Licence: LA  303579)
Enumeration Date2016-09-23
Last Update Date2019-07-03
Business Address
Mr. CHRISTOPHER TROY BAMBURG PA-C
1635 MARVEL ST
COUSHATTA, LA 71019-9022
Phone number: 318-932-2000
Mailing Address
Mr. CHRISTOPHER TROY BAMBURG PA-C
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698