Individual
DIEGO A MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2449 HOSPITAL DRIVE, SUITE 340, BOSSIER CITY, LA 71111
(318) 212-7841
(318) 212-7768
Mailing address
2449 HOSPITAL DRIVE, SUITE 340, BOSSIER CITY, LA 71111
(318) 212-7841
(318) 212-7768
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
199959
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478997
—
LA
Enumeration date
07/19/2006
Last updated
01/16/2009
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