MARISSA ADAMS
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1972900033- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1811 E BERT KOUN LOOP SUITE 110, SHREVEPORT, LA, 711055740
- Phone
- (318) 212-3858
- Fax
- (318) 212-3958
Specialties & Taxonomies
Physician Assistant
Primary License: LA #200750