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Organization
INTERNAL MEDICAL ASSOCIATES OF DOCTORS HOSPITAL
Active
Organization
INTERNAL MEDICAL ASSOCIATES OF DOCTORS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD KEITH COX (AUTHORIZED REPRESENTATIVE)
(318) 425-3130
Entity
Organization
Contact information
Practice address
128 LOUISIANA AVE, SHREVEPORT, LA 71101-2754
(318) 425-3130
Mailing address
128 LOUISIANA AVE, SHREVEPORT, LA 71101-2754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
LA
Other
Enumeration date
05/02/2006
Last updated
07/21/2022
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