Roan L Flenniken MD

NPI 1023012960 - Internal Medicine - 207R00000X

NPI Details
NPI 1023012960
Gender Male
Enumeration Date 06/09/2005
Last Updated 01/12/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1455 E BERT KOUNS LOOP
SHREVEPORT LA, 71105-5634, US
Phone (318) 798-4577
Fax (318) 798-4672
Business Location
1455 E BERT KOUNS LOOP
SHREVEPORT LA, 71105-5634, US
Phone (318) 798-4577
Fax (318) 798-4672
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 017132
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According to our database, Dr. Roan L Flenniken MD NPI is 1023012960, taxonomy code is 207R00000X and license number is 017132, license state is located at Louisiana. Roan L Flenniken MD physically located at 1455 E Bert Kouns Loop, Shreveport LA, 71105-5634. NPI Number Roan L Flenniken MD has the Individual type.

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1023012960 NPI number is provided on an as is basis without warranty of any kind. 1023012960 is maintained by the National Plan & Provider Enumeration System. The contents of Roan L Flenniken MD are for informational purposes only.