Individual
DR. PAUL MICHAEL DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1666 E BERT KOUNS LOOP, SUITE 145, SHREVEPORT, LA 71105-5714
(318) 797-9199
(318) 797-9193
Mailing address
1666 E BERT KOUNS LOOP, SUITE 145, SHREVEPORT, LA 71105-5714
(318) 797-9199
(318) 797-9193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018928
LA
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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