Individual
PAUL BRIAN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
436 BARRINGTON DR, BOSSIER CITY, LA 71112-3185
(318) 746-6260
Mailing address
436 BARRINGTON DR, BOSSIER CITY, LA 71112-3185
(318) 746-6260
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
025711
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042013
—
LA
Enumeration date
07/13/2006
Last updated
07/08/2007
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