Individual
HAROLD RYAN BICKNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7925 YOUREE DR, SUITE 200, SHREVEPORT, LA 71105-5538
(318) 798-6700
(318) 798-6799
Mailing address
7925 YOUREE DR, SUITE 200, SHREVEPORT, LA 71105-5538
(318) 798-6700
(318) 798-6799
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
018454
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1916218
—
LA
Enumeration date
06/30/2006
Last updated
11/15/2007
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