Individual
DR. MICHAEL LEONARD DURCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER, SHREVEPORT, LA 71103-3950
(318) 212-4639
(318) 212-8305
Mailing address
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER, SHREVEPORT, LA 71103-3950
(318) 212-4639
(318) 212-8305
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
08279R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053365501
—
TX
05
—
133510001
—
AR
05
—
1927911
—
LA
Enumeration date
06/28/2005
Last updated
06/24/2021
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