Organization
SKIN SURGERY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEANE M.D. (OWNER/ADMINISTRATOR)
(678) 448-8276
Entity
Organization
Contact information
Practice address
8575 BUSINESS PARK DR, SHREVEPORT, LA 71105-5655
(678) 448-8276
Mailing address
10884 DAUPHINE ST, SHREVEPORT, LA 71106-8523
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD.205964
LA
Other
Enumeration date
02/10/2013
Last updated
07/18/2013
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