| B&c Archery Llc | |
|
1401 Ezelle St Ruston LA 71270-7218 | |
| (318) 251-3126 | |
| Not Available |
| Full Name | B&c Archery Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Ezelle St, Ruston, Louisiana |
| Authorized Official Name and Position | Ryan C Harrison (SOLE OWNER) |
| Authorized Official Contact | 5126580877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B&c Archery Llc Po Box 2494 Ruston LA 71273-2494 Ph: (318) 255-3690 | B&c Archery Llc 1401 Ezelle St Ruston LA 71270-7218 Ph: (318) 251-3126 |
| NPI Number | 1295238327 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295238327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD206301 (Louisiana) | Primary |
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