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Individual

THOMAS MARSALA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715
Mailing address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10448
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1590720
LA
Enumeration date
02/21/2007
Last updated
07/30/2019
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