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Doctors / LA
DERMATOLOGY
Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2013
NPI: 1932542198
INTEGRATED DERMATOLOGY OF PONCHATOULA LLC
180 N 5TH ST
PONCHATOULA, LA 704542532
9853707546
Source: CMS National Downloadable File, September 2026.