Individual
DR. JOSEPH AARON DESAUTELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 TAYLOR RD, MONTGOMERY, AL 36117-3513
(334) 279-9333
(334) 279-9381
Mailing address
495 TAYLOR RD, MONTGOMERY, AL 36117-3513
(334) 279-9333
(334) 279-9381
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22900
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45483
BLUE CROSS/BLUE SHIELD
AL
05
—
45483
—
AL
01
—
7410546
UNITED HEALTHCARE
AL
Enumeration date
08/01/2006
Last updated
07/08/2007
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