PHILLIP M PRIDDY

SHREVEPORT, LA
NPI1124108758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN054704)
Enumeration Date2006-10-17
Last Update Date2015-04-23
Business Address
-- PHILLIP M PRIDDY CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
Mailing Address
-- PHILLIP M PRIDDY CRNA
1501 KINGS HWY
SHREVEPORT, LA 71130-4228
Phone number: 318-675-5584
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