Individual
DR. MARTIN JOSEPH DEGRAVELLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 LOUISVILLE AVE, MONROE, LA 71201-6025
(318) 323-8451
(318) 361-2613
Mailing address
1501 LOUISVILLE AVE, MONROE, LA 71201-6025
(318) 323-8451
(318) 361-2613
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD.20092
LA
Other
Enumeration date
02/29/2008
Last updated
12/05/2016
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