J Gary Booker MD

NPI 1013916642 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1013916642
Gender Male
Enumeration Date 07/15/2005
Last Updated 09/06/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
851 OLIVE ST
SHREVEPORT LA, 71104-2136, US
Phone (318) 227-9600
Fax (318) 227-9601
Business Location
851 OLIVE ST
SHREVEPORT LA, 71104-2136, US
Phone (318) 227-9600
Fax (318) 227-9601
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number MED R6J42
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According to our database, Dr. J Gary Booker MD NPI is 1013916642, taxonomy code is 2084P0800X and license number is MED R6J42, license state is located at Missouri. J Gary Booker MD physically located at 851 Olive St, Shreveport LA, 71104-2136. NPI Number J Gary Booker MD has the Individual type.

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1013916642 NPI number is provided on an as is basis without warranty of any kind. 1013916642 is maintained by the National Plan & Provider Enumeration System. The contents of J Gary Booker MD are for informational purposes only.