Individual
TERI O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017122
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1352942
—
LA
Enumeration date
08/10/2006
Last updated
08/18/2010
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