Organization · Type 2 NPI

Beauregard Physician Group, LLC

Podiatric Clinic/Center · Deridder, LA

NPI number 1780814756 Active

Practice location

600 S Pine St
Deridder, LA 70634-4942

Fax (337) 462-7479

Mailing address

PO Box 730
Deridder, LA 70634-0730

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XMD.09850R (LA)
Podiatric Clinic/Center Primary 261QP1100XNone listed

Podiatric Clinic/Center: Definition to come...

22 other providers at this address

About NPI 1780814756

Beauregard Physician Group, LLC's National Provider Identifier is 1780814756, issued on Jul 23, 2009. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Deridder, LA. The record was last updated on Jun 7, 2025.