Doctor Name: | DR. PAUL JUDE SIBILLE |
NPI Number: | 1013250703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 010173 |
Business Practice Address: | 1240 Highway 761 Church Point, LA - 705257527 |
Business Phone Number: | 3376684546 |
Business Fax Number: | 3376684546 |
Mailing Address: | 1240 Highway 761, CHURCH POINT |
State: | LA |
Postal Code: | 705257527 |
Phone Number: | 3376684546 |
Fax Number: | 3376684546 |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 010173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |