Individual
MR. CALEB PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8001 YOUREE DR, SHREVEPORT, LA 71115-2302
(318) 212-3000
Mailing address
210 SHERWOOD DR, BENTON, LA 71006-9727
(318) 401-2854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
234035
LA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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