MATTHEW EARLES DAUTERIVE

NEW IBERIA, LA
NPI1053679530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: LA  308116)
Enumeration Date2012-05-02
Last Update Date2023-07-17
Business Address
Mr. MATTHEW EARLES DAUTERIVE
2309 E MAIN ST STE 500
NEW IBERIA, LA 70560-4046
Phone number: 337-374-7315
Mailing Address
Mr. MATTHEW EARLES DAUTERIVE
155 HOSPITAL DR STE 101
LAFAYETTE, LA 70503-2852
Phone number: 252-744-5258