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Individual

MARCO A RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 HEARNE AVE, SHREVEPORT, LA 71103-3934
(318) 212-6086
(888) 810-8142
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
015523
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1193500-03
TX
05
1308731
LA
Enumeration date
11/10/2006
Last updated
06/18/2019
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