Individual
DR. PETER H. SEIDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
322503
LA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
322503
LA
Other
Enumeration date
06/14/2006
Last updated
09/20/2022
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