Individual
MR. RUFFIN CHASE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
51704 HIGHWAY 438, FRANKLINTON, LA 70438-7488
(985) 848-9955
(985) 848-9964
Mailing address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(985) 848-9955
(985) 848-9964
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200480
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180886
—
LA
Enumeration date
10/06/2011
Last updated
06/01/2021
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