Doctor Name: | JULANA MONTI |
NPI Number: | 1538302971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD.204019 |
Business Practice Address: | 672 Bert Kouns Loop Shreveport, LA - 711185701 |
Business Phone Number: | 3183477290 |
Business Fax Number: | 3189496861 |
Mailing Address: | Po Box 119, HAUGHTON |
State: | LA |
Postal Code: | 710370119 |
Phone Number: | |
Fax Number: | 3189396861 |
NPI Enumeration Date: | 04/15/2009 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD.204019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |