JOSE L MADARA JR M D PA

BOONEVILLE, MS
NPI1649275736
Entity TypeOrganization
Authorized ContactJOSE LAS LLAGAS MADARA
President
662-728-7711
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: MS  7928)
Enumeration Date2005-06-16
Last Update Date2007-08-14
Business Address
JOSE L MADARA JR M D PA
102 HOTEL ST
BOONEVILLE, MS 38829-3303
Phone number: 662-728-7711
Mailing Address
JOSE L MADARA JR M D PA
102 HOTEL ST
BOONEVILLE, MS 38829-3303
Phone number: 662-728-7711