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NPI 1295238327 · live from the CMS NPI Registry

B&C Archery LLC

Family Medicine in Ruston, LA. National Provider Identifier 1295238327, active.

NPI record

NPI1295238327 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1401 Ezelle St, Ruston, LA 71270
Practice phone318-251-3126
Mailing addressPo Box 2494, Ruston, LA 71273
EnumeratedMarch 15, 2018
Last updatedMarch 15, 2018
Authorized officialRyan Harrison, Sole Owner
Other namesRyan Harrison, MD

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000XMD206301 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.