Individual
DR. RONALD C. WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-1453
(318) 574-5876
Mailing address
804 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-1453
(318) 574-5876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012851
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173045
—
LA
Enumeration date
04/10/2006
Last updated
12/19/2011
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