Individual
MR. AGOSTINO STEPHEN DIROMA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1585 3RD ST, MEDDAC-FP, FORT POLK, LA 71459-5102
(337) 531-3494
(337) 531-3551
Mailing address
1116 ALLISON DR, DERIDDER, LA 70634-2944
(337) 463-5468
(337) 463-5468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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