SCOTT F DIEDRICH

HOUMA, LA
NPI1548245814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: LA  A10602)
Enumeration Date2005-12-09
Last Update Date2008-02-14
Business Address
-- SCOTT F DIEDRICH PA
1990 INDUSTRIAL BOULEVARD
HOUMA, LA 70363-7055
Phone number: 985-868-9300
Mailing Address
-- SCOTT F DIEDRICH PA
1990 INDUSTRIAL BOULEVARD
HOUMA, LA 71363-4176
Phone number: 985-868-9300