Organization
OB GYN ASSOCIATES OF SHREVEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALTER WATERFALLEN M.D. (PRESIDENT)
(318) 797-7941
Entity
Organization
Contact information
Practice address
7941 YOUREE DR, SHREVEPORT, LA 71105-5538
(318) 797-7941
(318) 797-7991
Mailing address
7941 YOUREE DR, SHREVEPORT, LA 71105-5538
(318) 797-7941
(318) 797-7991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
02/04/2019
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