Provider Demographics
NPI:1295734465
Name:CLAUSE, DAVID B (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:CLAUSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4015 I 49 S SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-0757
Mailing Address - Country:US
Mailing Address - Phone:337-942-6503
Mailing Address - Fax:337-942-8831
Practice Address - Street 1:4015 I 49 S SERVICE RD
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-0757
Practice Address - Country:US
Practice Address - Phone:337-942-6503
Practice Address - Fax:337-942-8831
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA021674207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1823104Medicaid
LAP00881766OtherMEDICARE RR
LAG56200Medicare UPIN
5126020006Medicare NSC
MSP00072952OtherMEDICARE RR