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Organization

OVERTON BROOKS VA HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT F. HALL M.S., CCC-A (AUDIOLOGY COORDINATOR)
(318) 424-6090
Entity
Organization

Contact information

Practice address
510 E STONER AVE # 126, SHREVEPORT, LA 71101-4243
(318) 424-6090
Mailing address
510 E STONER AVE # 126, SHREVEPORT, LA 71101-4243
(318) 424-6090

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5691
LA

Other

Enumeration date
09/27/2006
Last updated
08/22/2020
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