MAJOR JOSEPH MITTENDORF

BATON ROUGE, LA
NPI1295969467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  A10250)
Enumeration Date2009-05-04
Last Update Date2009-05-04
Business Address
-- MAJOR JOSEPH MITTENDORF PA-C
12091 BRICKSOME AVE
BATON ROUGE, LA 70816-2699
Phone number: 225-756-2673
Mailing Address
-- MAJOR JOSEPH MITTENDORF PA-C
15960 HIGHLAND RD
BATON ROUGE, LA 70810-6512
Phone number: 225-752-2276