Individual
DR. JOEL E PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2104 GAUSE BLVD W, SUITEA, SLIDELL, LA 70460-4130
(985) 643-4575
(985) 643-4513
Mailing address
2104 GAUSE BLVD W, SUITEA, SLIDELL, LA 70460-4130
(985) 643-4575
(985) 643-4513
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
207966
LA
Other
Enumeration date
07/13/2010
Last updated
12/06/2023
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