Individual
MATTI W PALO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70411 HIGHWAY 21, COVINGTON, LA 70433-8103
(985) 400-5566
(985) 400-5560
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.025221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04233229
—
MS
05
—
1572713
—
LA
Enumeration date
07/06/2006
Last updated
11/22/2019
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