Individual
DR. PHILIP A COLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 401, SHREVEPORT, LA 71101-4443
(318) 424-8373
(318) 424-6477
Mailing address
1801 FAIRFIELD AVE, SUITE 401, SHREVEPORT, LA 71101-4443
(318) 424-8373
(318) 424-6477
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
012262
LA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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