JOHN ALEXANDER MATA

SHREVEPORT, LA
NPI1750309001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: LA  07036R)
Enumeration Date2006-07-17
Last Update Date2009-08-20
Business Address
-- JOHN ALEXANDER MATA M.D.
1501 KINGS HWY DEPARTMENT OF UROLOGY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2750
Mailing Address
-- JOHN ALEXANDER MATA M.D.
1501 KINGS HWY DEPARTMENT OF UROLOGY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2750
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