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Individual

DR. JASON VALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
317 DERNIER ST, SAINT MARTINVILLE, LA 70582
(337) 342-2566
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.205006
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2181831
LA
Enumeration date
06/26/2006
Last updated
10/22/2019
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