IRA BUTLER FULLER III

BOGALUSA, LA
NPI1134149081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: LA  06356R)
Enumeration Date2006-07-20
Last Update Date2009-01-13
Business Address
Dr. IRA BUTLER FULLER III MD
433 PLAZA ST
BOGALUSA, LA 70427-3729
Phone number: 985-730-6705
Mailing Address
Dr. IRA BUTLER FULLER III MD
3401 NORTH BLVD
BATON ROUGE, LA 70806-3743
Phone number: 225-924-6820
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