Individual
RYAN PAUL ARMENTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2195
(337) 470-4590
Mailing address
PO BOX 54422, NEW ORLEANS, LA 70154-4422
(337) 470-2195
(337) 470-2019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200045.RX
LA
363AS0400X
Surgical Physician Assistant
PA.200045
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529893
—
LA
Enumeration date
02/17/2006
Last updated
01/20/2016
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