Individual
JULIE D MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6136
(318) 428-6191
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6136
(318) 428-6191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAA10585.RX
LA
Other
Enumeration date
05/12/2006
Last updated
09/29/2009
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