Organization
REGIONAL UROLOGY ONCOLOGY AND RADIATION TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND D GERMANY JR. MD (OWNER)
(318) 683-0411
Entity
Organization
Contact information
Practice address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 682-4590
(318) 682-4598
Mailing address
301 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8124
(318) 682-4590
(318) 682-4598
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448192
—
LA
01
—
DF1999
RAILROAD MEDICARE
LA
Enumeration date
05/16/2006
Last updated
11/15/2007
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