| Mph | |
|
307 Alcide Dominique Dr Lafayette LA 70506-1052 | |
| (337) 316-0400 | |
| (337) 901-5445 |
| Full Name | Mph |
|---|---|
| Speciality | General Practice |
| Location | 307 Alcide Dominique Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Patrick Devincent Moore (OWNER) |
| Authorized Official Contact | 3373160400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mph 307 Alcide Dominique Dr Lafayette LA 70506-1052 Ph: (337) 316-0400 | Mph 307 Alcide Dominique Dr Lafayette LA 70506-1052 Ph: (337) 316-0400 |
| NPI Number | 1013820794 |
|---|---|
| Provider Enumeration Date | 09/24/2026 |
| Last Update Date | 09/24/2026 |
| Certification Date | 09/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013820794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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