Search › Louisiana › 367500000X
Dustin Broussard, CRNA
NPI 1407151913 · on the registry since 2011
Practice
- Address
- 312 Grammont St Ste 100
Monroe, LA 71201 - Phone
- (318) 998-6129
- Organisation at this address
- City Apothecary
Vipul Shelat Apmc
Lee A Miller Md Apmc
Walter M Sartor Md Amc
P & S Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Additional practice sites
- 4901 Grande Dr, Pensacola, FL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
- Licence states on file
- FL, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana