Individual
PATRICK ST. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HIGHWAY, FAMILY MEDICINE, SHREVEPORT, LA 71130-3932
(318) 626-0014
Mailing address
1501 KINGS HIGHWAY, FAMILY MEDICINE, SHREVEPORT, LA 71130-3932
(318) 626-0014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
331371
LA
207Q00000X
Family Medicine Physician
Primary
331371
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2020
Last updated
06/01/2023
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