Individual
BRIAN STERLING DUPREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 N ASHLEY RIDGE LOOP, #400, SHREVEPORT, LA 71106-7234
(318) 470-5262
Mailing address
PO BOX 5313, SHREVEPORT, LA 71135-5313
(318) 470-5262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
300913
LA
2085R0202X
Diagnostic Radiology Physician
6353
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411195
—
LA
01
—
P01775384
RAILROAD MEDICARE
LA
Enumeration date
08/19/2008
Last updated
03/01/2017
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