Jared Mark Vincent is a Ophthalmology Physician based in Ruston, LA. Jared Mark Vincent practices in Ruston, LA and has the professional credentials of MD. The NPI Number for Jared Mark Vincent is 1639167836 and holds a License No. 025302 (Louisiana).
The current practice location address for Jared Mark Vincent is 400 E Vaughn Ave, Ruston, LA and can be reached out via phone at 318-251-0620 and via fax at 318-251-0621.
Identifier | Type | State | Issuer |
---|---|---|---|
208916544 | 01 | LA | FEDERAL TAX IDENTIFICATION NUMBER |
5CY25 | 01 | LA | MEDICARE GROUP |
1619189362 | 01 | LA | GROUP NPI |
1578967 | 05 | LA | |
1639167836 | 01 | LA | PROVIDER INDIVIDUAL NPI |
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