Individual
DR. JOSHUA CALEB MANDRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
MD.204800
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158571
—
LA
01
—
4Q4097387
MEDICARE
LA
Enumeration date
07/03/2007
Last updated
01/21/2026
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