Todd Darrin Jaeblon DO

NPI 1992818223 - Orthopaedic Surgery - 207XX0801X

NPI Details
NPI 1992818223
Gender Male
Enumeration Date 08/17/2006
Last Updated 02/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1501 KINGS HWY
SHREVEPORT LA, 71103-4228, US
Phone (318) 675-6180
Fax (318) 675-6186
Business Location
1512 W KIRBY PL
SHREVEPORT LA, 71103-3822, US
Phone (318) 675-5000
Fax
Toxanomy
Taxonomy Code 207XX0801X
License State Louisiana
License Number DO.000237
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According to our database, Todd Darrin Jaeblon DO NPI is 1992818223, taxonomy code is 207XX0801X and license number is DO.000237, license state is located at Louisiana. Todd Darrin Jaeblon DO physically located at 1501 Kings Hwy, Shreveport LA, 71103-4228. NPI Number Todd Darrin Jaeblon DO has the Individual type.

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1992818223 NPI number is provided on an as is basis without warranty of any kind. 1992818223 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Darrin Jaeblon DO are for informational purposes only.