Individual provider · Type 1 NPI

Emma W. Bollich, PA-C

Medical Physician Assistant · Broussard, LA

NPI number 1972118776 Active

Practice location

6703 Ambassador Caffery Pkwy Ste 2
Broussard, LA 70518-5283

Fax (337) 948-1768

Mailing address

123 Country Living Dr
Lafayette, LA 70507-2108

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X324303 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1972118776

Emma W. Bollich, PA-C's National Provider Identifier is 1972118776, issued on Sep 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Broussard, LA. The record was last updated on Sep 9, 2020.