Jose L Madara Jr M D PA

NPI #1649275736 in Booneville, Mississippi

Provider Information

NPI Number: 1649275736
Entity Type: Organization
Organization Name: Jose L Madara Jr M D PA
Primary Specialty: Surgery
Enumeration Date: Jun 16, 2005
Last Updated: Aug 14, 2007

Practice Location

Address: 102 HOTEL ST
City: Booneville
State: Mississippi
ZIP Code: 38829-3303
Phone: (662) 728-7711

Authorized Official

Name: DR. JOSE LAS LLAGAS MADARA JR., M.D.
Title: PRESIDENT
Phone: (662) 728-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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