person
Joseph Roger Fandal, PA
Surgical Physician Assistant in Monroe, Louisiana
NPI 1851768139

Joseph Roger Fandal is a Surgical Physician Assistant based in Monroe, LA and is specialized in Surgical. Joseph Roger Fandal practices in Monroe, LA and has the professional credentials of PA. The NPI Number for Joseph Roger Fandal is 1851768139 and holds a License No. (Louisiana).

The current practice location address for Joseph Roger Fandal is 1501 Louisville Ave, Monroe, LA and can be reached out via phone at 318-323-8451 and via fax at 318-361-2613. You can also correspond with Joseph Roger Fandal through the mailing address at 1501 LOUISVILLE AVE, MONROE, LA - 71201-6025 (mailing address contact number: 318-323-8451).

Location: 1501 Louisville Ave, Monroe, LA, 71201-6025
person
Provider Profile Details
NPI Number
1851768139
Provider Name
Joseph Roger Fandal
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1501 Louisville Ave, Monroe, LA, 71201-6025
Phone Number
318-323-8451
Fax Number
318-361-2613
Provider Enumeration Date
08/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 Louisville Ave
City
State
Zip
71201-6025
Phone Number
318-323-8451
Fax Number
318-361-2613
person
Provider Business Mailing Address Details
Address
1501 Louisville Ave
City
State
Zip
71201-6025
Phone Number
318-323-8451
Fax Number
318-361-2613
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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