Bradley M Blappert MD
Clinic/Center in Lafayette, LA. Organization (NPI-2).
NPI number1659535847
StatusActive
Last updated in NPPESApr 20, 2009
Details
- NPI
- 1659535847
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley M Blappert MD
- Organization subpart
- No
- Enumeration date
- Jul 16, 2008
- Last updated
- Apr 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 2022254 | LA | Yes |
Practice location
5000 Ambassador Caffery PkwyBuilding 6b
Lafayette, LA 70508-6984
Phone 337-984-1124 · Fax 337-984-1436
Mailing address
5000 Ambassador Caffery PkwyBuilding 6b
Lafayette, LA 70508-6984
Phone 337-984-1124 · Fax 337-984-1436
Authorized official
Bradley M Blappert
Owner / Operator
3379841124
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