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1396743506
THAD STEPHENS BROUSSARD
BATON ROUGE, LA
NPI
1396743506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: LA 014869)
Enumeration Date
2005-07-12
Last Update Date
2008-03-14
Business Address
Dr. THAD STEPHENS BROUSSARD M.D.
8037 PICARDY AVE
BATON ROUGE, LA 70809-3538
Phone number: 225-767-3680
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Mailing Address
Dr. THAD STEPHENS BROUSSARD M.D.
8037 PICARDY AVE
BATON ROUGE, LA 70809-3538
Phone number: 225-767-3680
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