Provider Demographics
NPI:1366443061
Name:ARMSTRONG, JOHN M III (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:ARMSTRONG
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 731280
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-1280
Mailing Address - Country:US
Mailing Address - Phone:318-841-9526
Mailing Address - Fax:318-841-9551
Practice Address - Street 1:109 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5303
Practice Address - Country:US
Practice Address - Phone:318-323-1834
Practice Address - Fax:318-323-0376
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA04132R207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP01315666OtherRR - MEDICARE
LA10981290OtherCAQH ID#
LA1331457Medicaid
LA1331457Medicaid
LAP01315666OtherRR - MEDICARE
LAB60367Medicare UPIN