Individual
IAN JOSEPH TOBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
350114
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2023
Last updated
07/01/2026
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