BRICE STEELE ROLSTON M.D.
Allergy and Immunology
Covington, Louisiana
Provider NPI: 1538137930
Provider Information:BRICE STEELE ROLSTON M.D.
Practice Location:
71107 HIGHWAY 21 SUITE 3 COVINGTON, LA 70433 US
Tel: 985-893-5780 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | LA | 12914 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1159166 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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