Individual
PILAR SHEPLAN OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-3423
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(903) 247-8262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19050
PR
208D00000X
General Practice Physician
19050
PR
390200000X
Student in an Organized Health Care Education/Training Program
29319-R
PR
Other
Enumeration date
07/30/2013
Last updated
02/06/2024
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