Organization
BAYOU DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MANDRELL MD (OWNER/MD)
(318) 265-6376
Entity
Organization
Contact information
Practice address
911 TECH DR, RUSTON, LA 71270-0701
(318) 265-6376
(318) 265-6377
Mailing address
911 TECH DR, RUSTON, LA 71270-0701
(318) 265-6376
(318) 265-6377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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