Individual
JOSE NELSON DORTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 JACK MILLER RD, VILLE PLATTE, LA 70586-5635
(337) 363-6413
(337) 363-1777
Mailing address
PO BOX 986, VILLE PLATTE, LA 70586-0986
(337) 363-6413
(337) 363-1777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10932R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996661
—
LA
Enumeration date
03/19/2006
Last updated
07/09/2007
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