Individual provider · Type 1 NPI
Tyare Standberry, RDMS RVT
Diagnostic Ultrasound Physician · Hammond, LA
NPI number
1215559596
Active
Practice location
15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Mailing address
1049 Quail Ridge Dr
Mccomb, MS 39648-5509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Ultrasound Physician Primary | 2085U0001X | 164230 (LA) |
Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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About NPI 1215559596
Tyare Standberry, RDMS RVT's National Provider Identifier is 1215559596, issued on May 10, 2020. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Hammond, LA. The record was last updated on May 10, 2020.