Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD W DAUTERIVE JR., MD
ActiveDR. EDWARD W DAUTERIVE JR., MD is a Vascular Surgery healthcare provider located in NEW IBERIA, Louisiana. NPI 1538151451 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · NEW IBERIA, LA
Registration Details
- NPI Number
- 1538151451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2005 (21.017196630888 yrs)
- Last Updated
- Jun 27, 2008
- Licenses
-
014729 (LA)014729 (LA)
Practice Information
- Address
-
1100 ANDRE STNEW IBERIA, LA, 705632159Browse LA providers · Browse ZIP 70563
- Phone
- 3373699309
- Fax
- 3373658455
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.