Danzell Family Medical Clinic

NPI 1134548175 - General Practice - 208D00000X

NPI Details
NPI 1134548175
Enumeration Date 04/07/2014
Last Updated 04/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOHN DAVIS JOHN
Position MEDICAL DOCTOR
Phone (318) 631-4030
Fax (318) 631-4031
Practice Location
2500 KINGS HWY
SHREVEPORT LA, 71103-3922, US
Phone (318) 631-4030
Fax (318) 631-4031
Business Location
2500 KINGS HWY
SHREVEPORT LA, 71103-3922, US
Phone (318) 631-4030
Fax (318) 631-4031
Toxanomy
Taxonomy Code 208D00000X
License State Louisiana
License Number 013603
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According to our database, Danzell Family Medical Clinic NPI is 1134548175, taxonomy code is 208D00000X and license number is 013603, license state is located at Louisiana. Danzell Family Medical Clinic physically located at 2500 Kings Hwy, Shreveport LA, 71103-3922. NPI Number 1033115704 has the healthcare provider type.

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1134548175 NPI number is provided on an as is basis without warranty of any kind. 1134548175 is maintained by the National Plan & Provider Enumeration System. The contents of Danzell Family Medical Clinic are for informational purposes only.