Organization
JEFF DAVIS RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDES J ROZAS III M.D. (OWNER/PARTNER)
(337) 824-4403
Entity
Organization
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 824-4403
(337) 824-9731
Mailing address
PO BOX 1128, JENNINGS, LA 70546-1128
(337) 824-4403
(337) 824-9731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1944793
—
LA
Enumeration date
04/05/2006
Last updated
08/22/2020
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