PHILLIP PARKER CRACE

FERRIDAY, LA
NPI1003088972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: LA  MD206664)
Additional Taxonomies208600000X Surgery
(Licence: KY  41691)
Enumeration Date2008-03-31
Last Update Date2016-12-22
Business Address
Dr. PHILLIP PARKER CRACE MD FACS
204 SERIO BLVD
FERRIDAY, LA 71334
Phone number: 318-757-8010
Mailing Address
Dr. PHILLIP PARKER CRACE MD FACS
204 SERIO BLVD
FERRIDAY, LA 71334
Phone number: 318-757-8010