Individual
JAMIE L RISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3444 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 473-9556
(318) 441-8339
Mailing address
3444 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
301922
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD2015-0173
NM
Other
Enumeration date
05/14/2010
Last updated
06/07/2021
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