Roy Braswell M.D.

NPI 1619987690 - Emergency Medicine - 207P00000X

NPI Details
NPI 1619987690
Gender Male
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4864 JACKSON ST
DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE LA, 71202-6400, US
Phone (318) 675-7737
Fax (318) 675-5666
Business Location
1501 KINGS HWY
MANAGED CARE
SHREVEPORT LA, 71103-4228, US
Phone (318) 675-7737
Fax (318) 675-5666
Toxanomy
Taxonomy Code 207P00000X
License State Louisiana
License Number 06140R
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According to our database, Roy Braswell M.D. NPI is 1619987690, taxonomy code is 207P00000X and license number is 06140R, license state is located at Louisiana. Roy Braswell M.D. physically located at 4864 Jackson St, Monroe LA, 71202-6400. NPI Number Roy Braswell M.D. has the Individual type.

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1619987690 NPI number is provided on an as is basis without warranty of any kind. 1619987690 is maintained by the National Plan & Provider Enumeration System. The contents of Roy Braswell M.D. are for informational purposes only.