Individual
ELENA GONZALEZ CALDITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
343053
LA
207R00000X
Internal Medicine Physician
343053
LA
Other
Enumeration date
07/17/2018
Last updated
11/01/2024
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