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Individual

DENNY JAMES DARTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 RYAN ST STE 105, LAKE CHARLES, LA 70601-6078
(337) 439-4706
(337) 439-8110
Mailing address
PO BOX 919112, DALLAS, TX 75391-9112
(337) 439-4706
(337) 439-8110

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
28838
AL
2085R0202X
Diagnostic Radiology Physician
Primary
205344
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051117775
BCBS
AL
01
051117776
BCBS
AL
01
051117777
BCBS
AL
01
051117778
BCBS
AL
01
051117779
BCBS
AL
01
051117780
BCBS
AL
01
051117781
BCBS
AL
01
051117782
BCBS
AL
01
051117783
BCBS
AL
01
051117784
BCBS
AL
05
09386221
MS
05
128973
AL
05
128974
AL
05
129024
AL
05
129026
AL
05
129059
AL
05
129060
AL
05
129096
AL
05
129099
AL
05
129164
AL
05
129165
AL
Enumeration date
11/19/2007
Last updated
03/19/2018
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