Organization
VARI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VAN M.D. (OWNER)
(954) 655-6852
Entity
Organization
Contact information
Practice address
506 ROCK HOLLOW DR, SHREVEPORT, LA 71115-2502
(954) 655-6852
Mailing address
506 ROCK HOLLOW DR, SHREVEPORT, LA 71115-2502
(954) 655-6852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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