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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSEPH ROGER FANDAL, PA

Active

JOSEPH ROGER FANDAL, PA is a Surgical Physician Assistant healthcare provider located in MONROE, Louisiana. NPI 1851768139 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · MONROE, LA

Registration Details

NPI Number
1851768139
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2015 (10.97235762983 yrs)
Last Updated
Aug 21, 2015

Practice Information

Address
1501 LOUISVILLE AVE
MONROE, LA, 712016025
Browse LA providers · Browse ZIP 71201
Phone
3183238451
Fax
3183612613
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in MONROE, LA

Name Credential NPI
MS. PAULA M. WALLACE P.A. 1689698490
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.