NPI 1386790376

Red River Dermatology

Organisation Dermatology Physician Alexandria, LA

Practice location

Address: 3335 Prescott Rd, Alexandria, LA 71301-3916
Phone: (318) 442-9395
Fax: (318) 442-9548

Authorised official

Name: Elizabeth Pratt Berry Long
Title: Owner
Phone: (318) 442-9395

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 025604 (LA)

Other Dermatology providers in Louisiana →

Registry record

NPI: 1386790376
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.