Individual
DR. JULIO E IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301A W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 628-2108
(318) 628-6211
Mailing address
301A W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 628-2108
(318) 628-6211
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
05638R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317519
—
LA
Enumeration date
01/11/2006
Last updated
06/07/2011
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