Individual
OLIVER WAYNE PATTERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 SOUTH REUNION DRVE, SHREVEPORT, LA 71118
(318) 780-4874
Mailing address
1713 SOUTH REUNION DRVE, SHREVEPORT, LA 71118
(318) 780-4874
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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