Individual
ROBBIE BOYD MARCANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
180 NINTH ST, JENA, LA 71342-3900
(318) 992-9268
(318) 992-6201
Mailing address
PO BOX 2780, JENA, LA 71342-2780
(318) 992-9200
(318) 992-9280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAA10386RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P000014188
RAILROAD MEDICARE PALMETT
LA
Enumeration date
02/16/2006
Last updated
01/11/2017
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