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Organization

MCA SPECIALISTS HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID C DEAS M.D. (PRESIDENT)
(318) 797-1743
Entity
Organization

Contact information

Practice address
1500 LINE AVE, SHREVEPORT, LA 71101-4639
(318) 797-1743
(318) 797-7599
Mailing address
1945 E 70TH ST STE B, SHREVEPORT, LA 71105-5347
(318) 797-1743
(318) 797-7599

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
014572
LA

Other

Enumeration date
01/16/2015
Last updated
01/16/2015
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