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Individual

RONALD W COYLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8166 MAIN ST, HOUMA, LA 70360
(985) 873-4141
(985) 851-4307
Mailing address
PO BOX 6014, HOUMA, LA 70361-6014
(985) 850-6398
(985) 873-3789

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
08563504333
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04333
LA
367500000X
Certified Registered Nurse Anesthetist
RNA223018
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1178799
LA
01
RNA223018
MAINE STATE NURSING BOARD
ME
Enumeration date
03/27/2006
Last updated
08/05/2022
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