MATTHEW BUSBY

SHREVEPORT, LA
NPI1982348447
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  332079)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-21
Last Update Date2024-04-12
Business Address
MATTHEW BUSBY
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-4092
Mailing Address
MATTHEW BUSBY
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: