Individual
JOEL IVOR ARRANGUEZ RAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-8137
Mailing address
619 N PROVIDENCE RD # 4355, COLUMBIA, MO 65203-4355
(573) 234-1070
(573) 442-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PENDING
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
336982
LA
Other
Enumeration date
11/09/2021
Last updated
06/21/2023
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