Louisiana State University Health Sciences Center Viral Disease Clini

NPI 1285635540 - Clinic/Center - 261Q00000X

NPI Details
NPI 1285635540
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT ROBERT
Position MEDICAL DIRECTOR
Phone (318) 862-9986
Fax
Practice Location
6670 SAINT VINCENT AVE
SHREVEPORT LA, 71106-2638, US
Phone (318) 862-9986
Fax
Business Location
1821 BAYOU DR
SHREVEPORT LA, 71105-3403, US
Phone (318) 865-2578
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Louisiana State University Health Sciences Center Viral Disease Clini NPI is 1285635540, taxonomy code is 261Q00000X Louisiana State University Health Sciences Center Viral Disease Clini physically located at 6670 Saint Vincent Ave, Shreveport LA, 71106-2638. NPI Number 1033115704 has the healthcare provider type.

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1285635540 NPI number is provided on an as is basis without warranty of any kind. 1285635540 is maintained by the National Plan & Provider Enumeration System. The contents of Louisiana State University Health Sciences Center Viral Disease Clini are for informational purposes only.