Individual
JEFFREY ALLEN GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8383 MILLICENT WAY DEPT OF, SHREVEPORT, LA 71115-5207
(318) 795-8502
(183) 795-8512
Mailing address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 795-8512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021595
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666769
—
LA
Enumeration date
07/15/2006
Last updated
05/08/2024
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