Organization
VAN ASSOCIATES NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VAN MD (OWNER)
(954) 655-6852
Entity
Organization
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 425-4096
Mailing address
10297 ELLERBE RD, SHREVEPORT, LA 71106-7708
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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