Individual
MIGUEL CAMPOS ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3444 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 473-9556
(318) 441-8339
Mailing address
4169 DUMAINE ST, NEW ORLEANS, LA 70119-3745
(760) 207-2866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200614
LA
Other
Enumeration date
09/25/2012
Last updated
06/25/2013
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