Fredric Thomas Siskron MD

NPI 1023006590 - Pathology - 207ZP0102X

NPI Details
NPI 1023006590
Gender Male
Enumeration Date 10/10/2005
Last Updated 04/11/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2915 MISSOURI AVE
SHREVEPORT LA, 71109-4327, US
Phone (318) 364-2000
Fax
Business Location
PO BOX 731280
DALLAS TX, 75373-1280, US
Phone
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State Louisiana
License Number 010722
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According to our database, Dr. Fredric Thomas Siskron MD NPI is 1023006590, taxonomy code is 207ZP0102X and license number is 010722, license state is located at Louisiana. Fredric Thomas Siskron MD physically located at 2915 Missouri Ave, Shreveport LA, 71109-4327. NPI Number Fredric Thomas Siskron MD has the Individual type.

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1023006590 NPI number is provided on an as is basis without warranty of any kind. 1023006590 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric Thomas Siskron MD are for informational purposes only.