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Contact Information

DEDRIC J CLARKE, MD
602 N. ACADIA ROAD
SUITE 101
THIBODAUX, LA70301
 Phone: 985-493-4993
 Fax: 985-493-4994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEDRIC J CLARKE · (Male)

NPI # 1508056441
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2007
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • LA License # MD.200764
  • LA Medicaid 1066885
Hospital affiliation(s)
  • TOURO INFIRMARY - (Acute Care)
    1401 FOUCHER STREET
    NEW ORLEANS, LA 70115
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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