JOSEPH MULLASSERIL JOHN

SHREVEPORT, LA
NPI1811255896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: LA  310128)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  R0258)
Enumeration Date2012-04-27
Last Update Date2019-07-26
Business Address
JOSEPH MULLASSERIL JOHN D.O,
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Phone number: 318-212-4000
Mailing Address
JOSEPH MULLASSERIL JOHN D.O,
PO BOX 3488
TUPELO, MS 38803-3488
Phone number: 832-605-3477
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