Individual
ERIC ARBUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
502 ROSS ST, OAK GROVE, LA 71263-9706
(318) 428-2358
(318) 428-2350
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6167
(318) 428-9681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325874
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549642
—
LA
01
—
325874
LA MEDICAL LICENSE
LA
Enumeration date
04/28/2016
Last updated
04/19/2021
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