Individual
JOE H RANKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-5148
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06863R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360716
—
LA
Enumeration date
07/18/2006
Last updated
02/24/2020
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