Individual
DR. JONATHAN M. JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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