Individual
ELLIOTT DENTON DOUCET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
4119 BALTIMORE AVE, SHREVEPORT, LA 71106-1421
(318) 294-0968
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
211568
LA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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