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Individual

TERRY RICHARD ARTHUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-2828
Mailing address
520 MYRTLE DR APT 1315, COVINGTON, LA 70433-8265
(985) 377-5262

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
323607
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XHB728872527
LA
Enumeration date
07/07/2020
Last updated
06/03/2021
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