person
Dr. Paul Matthews Van Deventer, MD
Specialist in Mandeville, Louisiana
NPI 1730184193

Paul Matthews Van Deventer is a Specialist based in Mandeville, LA. Paul Matthews Van Deventer practices in Mandeville, LA and has the professional credentials of MD. The NPI Number for Paul Matthews Van Deventer is 1730184193 and holds a License No. 10083R (Louisiana).

The current practice location address for Paul Matthews Van Deventer is 2330 N Causeway Blvd, Mandeville, LA and can be reached out via phone at 985-674-1700 and via fax at 985-674-1722. You can also correspond with Paul Matthews Van Deventer through the mailing address at 2330 N CAUSEWAY BLVD, MANDEVILLE, LA - 70471-6402 (mailing address contact number: 985-674-1700).

Location: 2330 N Causeway Blvd, Mandeville, LA, 70471-6402
person
Provider Profile Details
NPI Number
1730184193
Provider Name
Paul Matthews Van Deventer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2330 N Causeway Blvd, Mandeville, LA, 70471-6402
Phone Number
985-674-1700
Fax Number
985-674-1722
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1531278 05 LA
institution
Provider Business Practice Location Address Details
Address
2330 N Causeway Blvd
City
State
Zip
70471-6402
Phone Number
985-674-1700
Fax Number
985-674-1722
person
Provider Business Mailing Address Details
Address
2330 N Causeway Blvd
City
State
Zip
70471-6402
Phone Number
985-674-1700
Fax Number
985-674-1722
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
10083R (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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