Byrd Emergency Group Llc

NPI 1083858773 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083858773
Enumeration Date 04/24/2009
Last Updated 02/16/2016
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LISHA C LISHA
Position VP OF CONTRACTING
Phone (337) 239-9041
Fax
Practice Location
1020 W FERTITTA BLVD
LEESVILLE LA, 71446-4649, US
Phone (337) 239-9041
Fax
Business Location
200 CORPORATE BLVD
LAFAYETTE LA, 70508-3870, US
Phone (800) 893-9698
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number
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According to our database, Byrd Emergency Group Llc NPI is 1083858773, taxonomy code is 363AM0700X Byrd Emergency Group Llc physically located at 1020 W Fertitta Blvd, Leesville LA, 71446-4649. NPI Number 1033115704 has the healthcare provider type.

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1083858773 NPI number is provided on an as is basis without warranty of any kind. 1083858773 is maintained by the National Plan & Provider Enumeration System. The contents of Byrd Emergency Group Llc are for informational purposes only.