Individual provider · Type 1 NPI

Peyton Rachal

Medical Physician Assistant · Shreveport, LA

NPI number 1902416738 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 626-0008 Map

Fax (318) 675-7934

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X324558 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1902416738

Peyton Rachal's National Provider Identifier is 1902416738, issued on Aug 6, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shreveport, LA. The record was last updated on Jul 15, 2021.