DEWAYNE BRICKER

SHREVEPORT, LA
NPI1790870897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.A10376.RX)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA 03866)
Enumeration Date2006-10-04
Last Update Date2013-04-26
Business Address
Mr. DEWAYNE BRICKER PA-C
1460 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5644
Phone number: 318-797-2955
Mailing Address
Mr. DEWAYNE BRICKER PA-C
417 CREEK HOLW
SHREVEPORT, LA 71115-3739
Phone number: 318-453-1879
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