Provider Demographics
NPI:1023044815
Name:VALDEZ, JOSEPH DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DEAN
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:59335 RIVER WEST DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764
Mailing Address - Country:US
Mailing Address - Phone:225-685-1052
Mailing Address - Fax:225-985-1081
Practice Address - Street 1:59335 RIVER WEST DR
Practice Address - Street 2:SUITE C
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-6553
Practice Address - Country:US
Practice Address - Phone:225-685-1052
Practice Address - Fax:225-985-1081
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA09948R207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAF96556Medicare UPIN