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

TaxonomyCodeLicense
Diagnostic Ultrasound Physician Primary 2085U0001X164230 (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.