Individual
DR. ELVIS SURLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2209 FORSYTHE AVE, MONROE, LA 71201
(318) 387-5657
(318) 325-8472
Mailing address
2209 FORSYTHE AVE, MONROE, LA 71201
(318) 387-5657
(318) 325-8471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
717127T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1946192
—
LA
01
—
49455
PIN #
—
Enumeration date
03/07/2006
Last updated
07/08/2007
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