Individual
RYAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
(318) 435-6519
Mailing address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
(318) 435-9411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.206301
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342614
—
LA
Enumeration date
07/10/2008
Last updated
01/29/2021
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