MEDICARE: JOHN M ARMSTRONG III M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	04132R	LA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01315666	OTHER	LA	RR - MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10981290	OTHER	LA	CAQH ID#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1366443061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M ARMSTRONG III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 731280
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-1280
Country	:	US
Telephone Number	:	318-841-9526
Fax Number	:	318-841-9551

Provider Business Practice Location Address
First Line	:	109 CIRCLE DR
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-5303
Country	:	US
Telephone Number	:	318-323-1834
Fax Number	:	318-323-0376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/22/2016

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

109 CIRCLE DR
WEST MONROE, LA
71291-5303