Organization
B&C ARCHERY LLC
Active
Other names
Ryan Harrison, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN C HARRISON MD (SOLE OWNER)
(512) 658-0877
Entity
Organization
Contact information
Practice address
1401 EZELLE ST, RUSTON, LA 71270-7218
(318) 251-3126
Mailing address
PO BOX 2494, RUSTON, LA 71273-2494
(318) 255-3690
(318) 251-6116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD206301
LA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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