Individual
MRS. STACY HOLSTON ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8310
Mailing address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
023932
LA
207Q00000X
Family Medicine Physician
Primary
MD023932
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555835
—
LA
Enumeration date
08/08/2006
Last updated
07/14/2015
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