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Organization

REGIONAL UROLOGY LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND D GERMANY JR. MD (PHYSICIAN)
(318) 683-0411
Entity
Organization

Contact information

Practice address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Mailing address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1946982
LA
01
CD4645
RAILROAD MEDICARE
LA
Enumeration date
06/30/2005
Last updated
07/21/2022
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