Individual
DR. ARIEL O ANTEZANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 PRESCOTT RD STE 216, ALEXANDRIA, LA 71301-3983
(318) 443-0490
(318) 443-0690
Mailing address
3311 PRESCOTT RD STE 216, ALEXANDRIA, LA 71301-3983
(318) 443-0490
(318) 443-0690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD206719
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2372823
—
LA
Enumeration date
10/07/2009
Last updated
02/13/2019
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