Individual provider · Type 1 NPI

Christopher Troy Bamburg, PA-C

Medical Physician Assistant · Coushatta, LA

NPI number 1003365636 Active

Practice location

1635 Marvel St
Coushatta, LA 71019-9022

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Other practice locations

  • 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3180 · (318) 212-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X303579 (LA)
Medical Physician Assistant Primary 363AM0700X303579 (LA)

Medical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1003365636

Christopher Troy Bamburg, PA-C's National Provider Identifier is 1003365636, issued on Sep 23, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coushatta, LA. The record was last updated on Jul 3, 2019.