Ryan Harrison, Md | |
1401 Ezelle St Ruston LA 71270-7218 | |
(318) 251-3126 | |
Not Available |
Full Name | Ryan Harrison, Md |
---|---|
Speciality | Family Medicine |
Location | 1401 Ezelle St, Ruston, Louisiana |
Authorized Official Name and Position | Ryan C Harrison (SOLE OWNER) |
Authorized Official Contact | 5126580877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ryan Harrison, Md Po Box 2494 Ruston LA 71273-2494 Ph: (318) 255-3690 | Ryan Harrison, Md 1401 Ezelle St Ruston LA 71270-7218 Ph: (318) 251-3126 |
NPI Number | 1295238327 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 03/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295238327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD206301 (Louisiana) | Primary |
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