Individual
JASON K MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2449 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2399
(318) 212-7839
(318) 212-7837
Mailing address
2449 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2399
(318) 212-7839
(318) 212-7837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.201947
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078379
—
LA
Enumeration date
05/24/2007
Last updated
11/29/2012
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