Carra L Stewart PA-C

NPI 1063484954 - Physician Assistant - 363A00000X

NPI Details
NPI 1063484954
Gender Female
Enumeration Date 02/03/2006
Last Updated 10/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1811 E BERT KOUNS INDUSTRIAL LOOP
SUITE 300
SHREVEPORT LA, 71105-5740, US
Phone (318) 212-3636
Fax (318) 212-3649
Business Location
1811 E BERT KOUNS INDUSTRIAL LOOP
SUITE 300
SHREVEPORT LA, 71105-5740, US
Phone (318) 212-3636
Fax (318) 212-3649
Toxanomy
Taxonomy Code 363A00000X
License State Kentucky
License Number PA723
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According to our database, Carra L Stewart PA-C NPI is 1063484954, taxonomy code is 363A00000X and license number is PA723, license state is located at Kentucky. Carra L Stewart PA-C physically located at 1811 E Bert Kouns Industrial Loop, Shreveport LA, 71105-5740. NPI Number Carra L Stewart PA-C has the Individual type.

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1063484954 NPI number is provided on an as is basis without warranty of any kind. 1063484954 is maintained by the National Plan & Provider Enumeration System. The contents of Carra L Stewart PA-C are for informational purposes only.