Healthcare Provider Details

I. General information

NPI: 1013998137
Provider Name (Legal Business Name): JOHN N. RHODES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 WORLEY DR
ALEXANDRIA LA
71301-3600
US

IV. Provider business mailing address

37 CALVERT DR.
ALEXANDRIA LA
71303
US

V. Phone/Fax

Practice location:
  • Phone: 318-443-9634
  • Fax: 318-443-9809
Mailing address:
  • Phone: 318-443-9634
  • Fax: 318-443-9809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number019609
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: