Individual
DEREK MARCANTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-6632
Mailing address
1501 KINGS HWY, EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-6632
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2404
TX
Other
Enumeration date
04/24/2014
Last updated
07/01/2017
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