David Juston Colvin M.D.

NPI 1023010592 - Family Medicine - 207Q00000X

NPI Details
NPI 1023010592
Gender Male
Enumeration Date 08/12/2005
Last Updated 02/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
8383 MILLICENT WAY
SHREVEPORT LA, 71115-5207, US
Phone (318) 797-6661
Fax (318) 795-8512
Business Location
PO BOX 5687
SHREVEPORT LA, 71135-5687, US
Phone (318) 797-6661
Fax (318) 795-8512
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number L022840
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According to our database, David Juston Colvin M.D. NPI is 1023010592, taxonomy code is 207Q00000X and license number is L022840, license state is located at Louisiana. David Juston Colvin M.D. physically located at 8383 Millicent Way, Shreveport LA, 71115-5207. NPI Number David Juston Colvin M.D. has the Individual type.

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1023010592 NPI number is provided on an as is basis without warranty of any kind. 1023010592 is maintained by the National Plan & Provider Enumeration System. The contents of David Juston Colvin M.D. are for informational purposes only.