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Individual

DR. JOSEPH RALPH MILLET JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70443
(985) 871-5900
(985) 871-5901
Mailing address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70443
(985) 871-5900
(985) 871-5901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
011873
LA
207R00000X
Internal Medicine Physician
Primary
056135206
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144991
LA
Enumeration date
07/20/2006
Last updated
08/15/2012
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