MEDICARE: RALPH G. ASBURY, MD, APMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	MD012782	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144419128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH G. ASBURY, MD, APMC

Provider Business Mailing Address
First Line	:	2713 OAK DR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-2432
Country	:	US
Telephone Number	:	318-323-2313
Fax Number	:	318-387-6618

Provider Business Practice Location Address
First Line	:	6198 CYPRESS ST
Second Line	:	BUILDING 2
City	:	WEST MONROE
State	:	LA
Zip	:	71291-9010
Country	:	US
Telephone Number	:	318-397-6360
Fax Number	:	318-397-6399

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RALPH ASBURY
Credential	:	M.D.
Telephone Number	:	318-323-2313

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	11/29/2007

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