Individual
ANGELO ANTHONY TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22172 SUTTER LN, ZACHARY, LA 70791-6002
(225) 921-4224
Mailing address
22172 SUTTER LN, ZACHARY, LA 70791-6002
(225) 921-4224
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.017358
LA
Other
Enumeration date
11/30/2006
Last updated
04/11/2019
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