Organization
PAIR O' DOCS BIO-REJUVENIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN M'LISS PENDLETON MD (OWNER)
(318) 550-0050
Entity
Organization
Contact information
Practice address
6030 LINE AVE, SUITE 210, SHREVEPORT, LA 71106-2062
(318) 550-0050
(318) 550-0053
Mailing address
6030 LINE AVE, SUITE 210, SHREVEPORT, LA 71106-2062
(318) 550-0050
(318) 550-0053
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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