TODD S ELLISON

SHREVEPORT, LA
NPI1093731762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  A10597)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- TODD S ELLISON P.A.
1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
Mailing Address
-- TODD S ELLISON P.A.
1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
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