Individual
EDWARD RONALD SAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71105-5714
(318) 212-3520
(318) 212-3525
Mailing address
1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71105-5714
(318) 212-3520
(318) 212-3525
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.05522R
LA
208000000X
Pediatrics Physician
Primary
05522R
LA
208600000X
Surgery Physician
05522R
LA
208C00000X
Colon & Rectal Surgery Physician
0522R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351741
—
LA
Enumeration date
07/01/2006
Last updated
09/16/2014
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