specializing in family medicine in Benton, Louisiana

NPI: 1679905756

Provider Type

2

Practice Locations

Mailing Location

PO BOX 52364

SHREVEPORT, LA 71135

📞 3187984664

📠 3187984457

Practice Location

188 BURT BLVD

BENTON, LA 71006

📞 3187984539

📠 3187984601

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/31/2013
Last Updated:7/31/2013

Credentials

Primary Credential:
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