Individual
BETHANY CUBLEY CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
460 ASHLEY RIDGE BLVD, STE 600, SHREVEPORT, LA 71106-7235
(318) 861-4226
Mailing address
460 ASHLEY RIDGE BLVD, STE 600, SHREVEPORT, LA 71106-7235
(318) 861-4226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200313
LA
363A00000X
Physician Assistant
PA07362
TX
Other
Enumeration date
11/13/2009
Last updated
01/26/2016
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