Dimitri Nicholas Pagoulato, PAC

NPI #1194988915 in Baker, Louisiana

Provider Information

NPI Number: 1194988915
Entity Type: Individual
Name: Dimitri Nicholas Pagoulato, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 2, 2008
Last Updated: Mar 14, 2025

Practice Location

Address: 6516 E MYRTLE AVE
City: Baker
State: Louisiana
ZIP Code: 70714-4348
Phone: (225) 774-7320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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