Individual
DR. DEANNA FACUNDUS KARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
019878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942912
—
AL
05
—
03936353
—
MS
05
—
1660761
—
LA
Enumeration date
06/15/2005
Last updated
08/21/2008
Update your record
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