Individual
ANTONIO R PIZARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 207, SHREVEPORT, LA 71101-4443
(318) 221-0021
(318) 221-0992
Mailing address
1801 FAIRFIELD AVE STE 207, SHREVEPORT, LA 71101-4460
(318) 221-0021
(318) 221-0992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23827
LA
207VG0400X
Gynecology Physician
Primary
23827
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487279
—
LA
Enumeration date
06/21/2005
Last updated
05/16/2011
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