Individual
RODERICK CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
2924 KNIGHT ST, SUITE 426, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Mailing address
2924 KNIGHT ST, SUITE 426, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
146L00000X
LA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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