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Individual

DR. PHILLIP PARKER CRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
204 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-8010
(318) 757-9501
Mailing address
204 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-8010
(318) 757-9501

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41691
KY
208600000X
Surgery Physician
Primary
MD206664
LA

Other

Enumeration date
03/31/2008
Last updated
12/22/2016
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