institution
Wayne J Pharo A Professional Medical Corporation
Specialist in Thibodaux, Louisiana
NPI 1245278670

Wayne J Pharo A Professional Medical Corporation is a Specialist based in Thibodaux, LA. Wayne J Pharo A Professional Medical Corporation practices in Thibodaux, LA. The NPI Number for Wayne J Pharo A Professional Medical Corporation is 1245278670 and holds a License No. 016262 (Louisiana).

The current practice location address for Wayne J Pharo A Professional Medical Corporation is 400 N Acadia Rd, Thibodaux, LA and can be reached out via phone at 985-448-0649 and via fax at 985-448-0785.

Location: 400 N Acadia Rd, Thibodaux, LA, 70301-4856
institution
Provider Profile Details
NPI Number
1245278670
Provider Name
Wayne J Pharo A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
400 N Acadia Rd, Thibodaux, LA, 70301-4856
Phone Number
985-448-0649
Fax Number
985-448-0785
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1358614 05 LA
institution
Provider Business Practice Location Address Details
Address
400 N Acadia Rd
City
State
Zip
70301-4856
Phone Number
985-448-0649
Fax Number
985-448-0785
person
Provider Business Mailing Address Details
Address
400 N Acadia Rd
City
State
Zip
70301-4856
Phone Number
985-448-0649
Fax Number
985-448-0785
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
016262 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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