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Dustin Rand Goudeau (PAC)

Dustin Rand Goudeau (PAC) is a health care provider specializes in Physician Assistant. He is associated with medical group practice RAPIDES REGIONAL PHYSICIAN GROUP, SPECIALTY CARE, LLC and is affiliated with hospital of Rapides Regional Medical Center.

profile-icon Basic Information

Practice Location 3351 Masonic Dr, Alexandria, LA 71301-3842, US
Practice Location Phone318-473-9556
Practice Location Fax318-441-8339
GenderMale
Specialty InPhysician Assistant
Medical SchoolOther
Graduation Year2003
NPI ?1003880956
PECOS ID1153387493
Enrollment IDI20041208000277
Entity TypeIndividual
Enumeration Date ? Feb 16, 2006
Last Update Date ? Dec 10, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Dustin Rand Goudeau

SpecialtySpecializationLicenseLicense State
Physician Assistant PAA10612Louisiana

Medicare-icon Medicare Participation of Dustin Rand Goudeau

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Dustin Rand Goudeau

Medical Group PracticeRapides Regional Physician Group, Specialty Care, Llc
Affiliation 1 Rapides Regional Medical Center

legacy-id-icon Legacy Provider IDs of Dustin Rand Goudeau

Provider IdIssuer StateIssuer TypeIssuer
P00246919LouisianaOtherRAILROAD MEDICARE PALMETT