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Organization
OB GYN ASSOCIATES OF SHREVEPORT
Active
Organization
OB GYN ASSOCIATES OF SHREVEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALTER WATERFALLEN M.D. (PRESIDENT)
(318) 797-7941
Entity
Organization
Contact information
Practice address
7941 YOUREE DR, SHREVEPORT, LA 71105-5538
(318) 797-7941
(318) 797-7991
Mailing address
7941 YOUREE DR, SHREVEPORT, LA 71105-5538
(318) 797-7941
(318) 797-7991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
02/04/2019
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