Individual
ROLAND PONARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2806 MARK DR, MONROE, LA 71201-5152
(318) 460-5127
(318) 460-1967
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09892R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967777
—
LA
Enumeration date
09/14/2006
Last updated
12/04/2025
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