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Organization
OVERTON BROOKS VA MEDICAL CENTER
Active
Organization
OVERTON BROOKS VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA JEAN BROWN RRT (SUPERVISOR)
(318) 221-8411
Entity
Organization
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
500 NORTHPARK DR, BOSSIER CITY, LA 71111-2210
(318) 746-2079
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RRT.LORO22
LA
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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