TYLER NICHOLAS CARRUTH

BATON ROUGE, LA
NPI1649423278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.A10424)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA03418)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
-- TYLER NICHOLAS CARRUTH P.A.
8742 GOODWOOD BLVD
BATON ROUGE, LA 70806-7915
Phone number: 225-893-0810
Mailing Address
-- TYLER NICHOLAS CARRUTH P.A.
PO BOX 44158
BATON ROUGE, LA 70804-4158
Phone number: 281-787-4362
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