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Individual

MATTHEW SCOTT MENARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5053
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5053

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
311908
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311908
LSBME
LA
Enumeration date
05/03/2011
Last updated
06/27/2019
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