NPI 1003128463
Joel E Perdomo, MD
Practice location
- Address
- 2104 Gause Blvd W Suitea, Slidell, LA 70460-4130
- Phone
- (985) 643-4575
- Fax
- (985) 643-4513
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1003128463
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jul 2010
- Record last updated
- 6 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.