Individual
MR. JOSHUA MICHAEL TARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
(985) 625-2200
(985) 625-2206
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
(985) 625-2200
(985) 625-2206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
323411
LA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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