Individual
JOSE D QUITAIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 4TH ST, BOX 30101, ALEXANDRIA, LA 71301-8421
(318) 449-7383
Mailing address
211 4TH ST, BOX 30101, ALEXANDRIA, LA 71301-8421
(318) 449-7383
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449067
—
LA
Enumeration date
11/08/2006
Last updated
04/09/2008
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