Individual
TERENCE R TUGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2516 BROADMOOR BLVD STE 3C2, MONROE, LA 71201-2988
(318) 807-7875
(318) 812-6291
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.016380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353973
—
LA
Enumeration date
05/31/2005
Last updated
09/01/2021
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