Individual
TODD DARRIN JAEBLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
H83272
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468479
—
LA
01
—
4P962F600
MEDICARE - PTAN
LA
Enumeration date
08/17/2006
Last updated
11/24/2025
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