Individual
DR. JONATHAN M. JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 SOUTHCITY PKWY STE 101, LAFAYETTE, LA 70503-5718
(337) 981-6430
(337) 981-9134
Mailing address
214 SOUTHCITY PKWY STE 101, LAFAYETTE, LA 70503-5718
(337) 981-6430
(337) 981-9134
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
017696
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285637645
PHCS
LA
Enumeration date
05/31/2005
Last updated
08/08/2022
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