Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 09948R | LA |
NPI | 1023044815 |
---|---|
Provider Name | Dr. Joseph Dean Valdez |
First Address | Plaquemine, LA 70764 |
Second Address | Plaquemine, LA 70764-6553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F96556 | (02) | LA |