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Dr. Thad Stephens Broussard, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Baton Rouge, Louisiana
NPI 1396743506

Thad Stephens Broussard is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Baton Rouge, LA. Thad Stephens Broussard practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Thad Stephens Broussard is 1396743506 and holds a License No. 014869 (Louisiana).

The current practice location address for Thad Stephens Broussard is 8037 Picardy Ave, Baton Rouge, LA and can be reached out via phone at 225-767-3680 and via fax at 225-767-5578.

Location: 8037 Picardy Ave, Baton Rouge, LA, 70809-3538
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Provider Profile Details
NPI Number
1396743506
Provider Name
Thad Stephens Broussard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8037 Picardy Ave, Baton Rouge, LA, 70809-3538
Phone Number
225-767-3680
Fax Number
225-767-5578
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1340901 05 LA
2695399 01 LA CIGNA
690092 01 LA AETNA
institution
Provider Business Practice Location Address Details
Address
8037 Picardy Ave
City
State
Zip
70809-3538
Phone Number
225-767-3680
Fax Number
225-767-5578
person
Provider Business Mailing Address Details
Address
8037 Picardy Ave
City
State
Zip
70809-3538
Phone Number
225-767-3680
Fax Number
225-767-5578
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
014869 (Louisiana)
Definition
Definition to come.
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