Organization
RED RIVER DERMATOLOGY
Active
Organization
RED RIVER DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PRATT BERRY LONG MD (OWNER)
(318) 442-9395
Entity
Organization
Contact information
Practice address
3335 PRESCOTT RD, ALEXANDRIA, LA 71301-3916
(318) 442-9395
(318) 442-9548
Mailing address
3335 PRESCOTT RD, ALEXANDRIA, LA 71301-3916
(318) 442-9395
(318) 442-9548
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
025604
LA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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