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Misty Marlene Anthony-Mcallister, PA-C, MPAS

Physician Assistant in Shreveport, LA. Individual provider (NPI-1).

NPI number1740646355
StatusActive
Last updated in NPPESApr 22, 2024

Details

NPI
1740646355
Entity type
Individual (NPI-1)
Name
Misty Marlene Anthony-Mcallister
Credential
PA-C, MPAS
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2016
Certification date
Apr 22, 2024
Last updated
Apr 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant300091LAYes

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Phone 318-221-8411

Mailing address

510 E Stoner Ave
Shreveport, LA 71101-4243

Phone 318-221-8411

Other practice locations

1549 E 70th St Ste 300
Shreveport, LA 71105-5056

Phone 318-300-3898 · Fax 318-797-4241

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