Most Relevant Information
Provider Data
| NPI Number: | 1003365636 |
| Provider Name: | CHRISTOPHER TROY BAMBURG PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 303579 |
Most Important Dates
| Enumeration Date: | 09/23/2016 |
| Last Updated: | 07/03/2019 |
Provider Practice Location
1635 MARVEL ST
COUSHATTA
LA
710199022
Practice Location Phone/Fax
| Phone: | 3189322000 |
| Fax: |
Provider Mailing Location
200 CORPORATE BLVD
LAFAYETTE
LA
705083870
Provider Mailing Phone/Fax
| Phone: | 8008939698 |
| Fax: |