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Individual

NICHOLAS RYAN ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 KINGS HIGHWAY, EMERGENCY MEDICINE, SHREVEPORT, LA 71130
(318) 626-1034
Mailing address
1501 KINGS HIGHWAY, EMERGENCY MEDICINE, SHREVEPORT, LA 71130
(318) 626-1034

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
322986
LA

Other

Enumeration date
04/02/2018
Last updated
07/29/2021
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