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NPI Code Detail

MEDICARE: DR. DAVID J REES MD

MEDICARE:  DR. DAVID J REES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician8978LA
22084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianAR3394931LA
32084A0401XAddiction Medicine (Psychiatry & Neurology) Physician19599LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14377073050OTHERLABCBS

General Provider Information

NPI Number : 1639103567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J REES MD
Provider Business Mailing Address
First Line : 302 DULLES DR
Second Line : SUITE 1
City : LAFAYETTE
State : LA
Zip : 70506-3008
Country : US
Telephone Number : 337-262-5870
Fax Number : 337-262-2172
Provider Business Practice Location Address
First Line : 302 DULLES DR
Second Line : SUITE 1
City : LAFAYETTE
State : LA
Zip : 70506-3008
Country : US
Telephone Number : 337-262-5870
Fax Number : 337-262-1272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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1750345799 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:
302 DULLES DRIVE , SUITE 1
LAFAYETTE, LA
70506-3008
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Practice Fax: 337-262-1272
1699700880 — DR. GEORGE W. DIGGS JR. M.D.
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302 DULLES DR , SUITE 1
LAFAYETTE, LA
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Practice Fax: 337-262-1272
1437263746 — MR. NATHAN S BURATT LCSW
Practice Location Address:
302 DULLES DR , SUITE 1
LAFAYETTE, LA
70506-3008
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Practice Fax: 337-262-1272

Directions to “ DR. DAVID J REES MD” Practice Location

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