Individual
DR. JOHN PAGTEILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY., NEW ORLEANS, LA 70121-7101
(504) 894-2700
Mailing address
1615 S MAGNOLIA AVE, BROKEN ARROW, OK 74012-9007
(918) 231-4031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
343310
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/01/2016
Last updated
08/14/2024
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