Individual
MR. WAYNE DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2536 AIRLINE DR, BOSSIER CITY, LA 71111-5813
(318) 422-0182
Mailing address
2536 AIRLINE DR, BOSSIER CITY, LA 71111-5813
(318) 422-0182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17168
LA
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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