Individual
RYAN MARK TRUXILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8050 W JUDGE PEREZ DR, SUITE 3100, CHALMETTE, LA 70043-1734
(504) 304-2800
(504) 826-9650
Mailing address
8050 W JUDGE PEREZ DR, SUITE 3100, CHALMETTE, LA 70043-1734
(504) 304-2800
(504) 826-9650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
201607
LA
207Q00000X
Family Medicine Physician
Primary
MD201607
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1143570
—
LA
05
—
2319680
—
LA
01
—
255644YJ78
PTAN
—
Enumeration date
06/06/2006
Last updated
06/18/2014
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