Individual
DR. JULIO PETILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 PATRIOT ST, LAFAYETTE, LA 70508-6831
(337) 981-2125
(337) 981-2174
Mailing address
105 PATRIOT ST, LAFAYETTE, LA 70508-6831
(337) 981-2125
(337) 981-2174
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
343117
LA
207X00000X
Orthopaedic Surgery Physician
73625
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200995080
—
IN
05
—
7100128410
—
KY
Enumeration date
02/23/2006
Last updated
10/10/2024
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