Individual
EMILY ELLIOTT BRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1322 KINGS HWY, SHREVEPORT, LA 71103-4225
(318) 626-4335
Mailing address
1824 JACK MARTIN RD, MINDEN, LA 71055-6556
(318) 393-9800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
334156
LA
Other
Enumeration date
09/05/2022
Last updated
01/06/2023
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