Individual
ERICA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9091 ELLERBE RD STE 200, SHREVEPORT, LA 71106-6737
(318) 681-1630
(318) 681-1632
Mailing address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 795-8512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200487
LA
Other
Enumeration date
09/23/2011
Last updated
03/15/2023
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