Healthcare Provider Details

I. General information

NPI: 1013949619
Provider Name (Legal Business Name): MATTI W PALO JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 11/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70411 HIGHWAY 21
COVINGTON LA
70433-8103
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 985-400-5566
  • Fax: 985-400-5560
Mailing address:
  • Phone: 225-765-5727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.025221
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: