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Individual

WILSON B BABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1455 E BERT KOUN LOOP STE 207, SHREVEPORT, LA 71105-5634
(318) 221-3403
(318) 221-6744
Mailing address
PO BOX 44309, SHREVEPORT, LA 71134-4309
(318) 221-3403
(318) 221-6744

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
021943
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1681954
LA
Enumeration date
06/14/2005
Last updated
02/07/2022
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