Individual
JORGE DAGOBERTO MELARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2170 GAUSE BLVD W, SUITE 101, SLIDELL, LA 70460-4127
(985) 326-8283
Mailing address
2513 TAFFY DR, KENNER, LA 70065-3822
(504) 606-0383
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.208225
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
04/12/2016
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