Martin Joseph Degravelle JR. M.D.

NPI 1457520801 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1457520801
Gender Male
Enumeration Date 02/29/2008
Last Updated 07/13/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
1501 LOUISVILLE AVE
MONROE LA, 71201-6025, US
Phone (318) 323-8451
Fax (504) 568-4684
Business Location
1501 LOUISVILLE AVE
MONROE LA, 71201-6025, US
Phone (318) 323-8451
Fax (504) 568-4684
Toxanomy
Taxonomy Code 207X00000X
License State Louisiana
License Number MD.20092
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According to our database, Dr. Martin Joseph Degravelle JR. M.D. NPI is 1457520801, taxonomy code is 207X00000X and license number is MD.20092, license state is located at Louisiana. Martin Joseph Degravelle JR. M.D. physically located at 1501 Louisville Ave, Monroe LA, 71201-6025. NPI Number Martin Joseph Degravelle JR. M.D. has the Individual type.

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1457520801 NPI number is provided on an as is basis without warranty of any kind. 1457520801 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Joseph Degravelle JR. M.D. are for informational purposes only.