EDWARD W DAUTERIVE

NEW IBERIA, LA
NPI1538151451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: LA  014729)
Additional Taxonomies208600000X Surgery
(Licence: LA  014729)
Enumeration Date2005-08-17
Last Update Date2008-06-27
Business Address
Dr. EDWARD W DAUTERIVE MD
1100 ANDRE ST
NEW IBERIA, LA 70563-2159
Phone number: 337-369-9309
Mailing Address
Dr. EDWARD W DAUTERIVE MD
1100 ANDRE ST. STE. 101
NEW IBERIA, LA 70563-2159
Phone number: 337-369-9309
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