JOSEPH ROGER FANDAL

MONROE, LA
NPI1851768139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2015-08-21
Last Update Date2015-08-21
Business Address
-- JOSEPH ROGER FANDAL PA
1501 LOUISVILLE AVE
MONROE, LA 71201-6025
Phone number: 318-323-8451
Mailing Address
-- JOSEPH ROGER FANDAL PA
1501 LOUISVILLE AVE
MONROE, LA 71201-6025
Phone number: 318-323-8451
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