Individual
DR. JOSE A BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HALL ST, MONROE, LA 71201-7526
(318) 966-6565
(318) 966-6566
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9568
(504) 896-3966
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
05360R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312011
—
LA
Enumeration date
01/11/2007
Last updated
01/13/2021
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