Individual
JOHN W WATERFALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7941 YOUREE DR, SHREVEPORT, LA 71105-5538
(318) 797-7941
(318) 797-7991
Mailing address
7941 YOUREE DR, SHREVEPORT, LA 71105-5538
(318) 797-7941
(318) 797-7991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
014123
LA
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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