RYAN D ELLEDGE

SHREVEPORT, LA
NPI1356892665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  303583)
Enumeration Date2016-10-21
Last Update Date2025-12-05
Business Address
RYAN D ELLEDGE PA-C
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
RYAN D ELLEDGE PA-C
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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