Individual provider · Type 1 NPI

Harold Joseph Broussard, PA

Medical Physician Assistant · New Iberia, LA

NPI number 1144352287 Active

Practice location

2309 E Main St, Bldg B
New Iberia, LA 70560-4046

Fax (337) 560-0934

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.A10075.RX (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1144352287

Harold Joseph Broussard, PA's National Provider Identifier is 1144352287, issued on Mar 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Iberia, LA. The record was last updated on Jul 8, 2007.