Brett A. Koder MD

NPI 1073508016 - Specialist - 174400000X

NPI Details
NPI 1073508016
Gender Male
Enumeration Date 09/15/2005
Last Updated 08/12/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
7847 YOUREE DR
SHREVEPORT LA, 71105-5505, US
Phone (318) 212-3960
Fax (318) 212-3907
Business Location
7847 YOUREE DR
SHREVEPORT LA, 71105-5505, US
Phone (318) 212-3960
Fax (318) 212-3907
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 96-00594
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According to our database, Brett A. Koder MD NPI is 1073508016, taxonomy code is 174400000X and license number is 96-00594, license state is located at North Carolina. Brett A. Koder MD physically located at 7847 Youree Dr, Shreveport LA, 71105-5505. NPI Number Brett A. Koder MD has the Individual type.

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1073508016 NPI number is provided on an as is basis without warranty of any kind. 1073508016 is maintained by the National Plan & Provider Enumeration System. The contents of Brett A. Koder MD are for informational purposes only.