Individual provider · Type 1 NPI
Robert Gomann Genovese Ii, PA-C
Surgical Physician Assistant · Opelousas, LA
NPI number
1750880134
Active
Practice location
1233 Wayne Gilmore Cir Ste 250A
Opelousas, LA 70570-6405
Fax (337) 948-6881
Mailing address
3306 Walnut Dr
Opelousas, LA 70570-6946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 307277 (LA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1750880134
Robert Gomann Genovese Ii, PA-C's National Provider Identifier is 1750880134, issued on Feb 12, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Opelousas, LA. The record was last updated on Feb 12, 2018.