Individual
DR. LEONARD WEATHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE C, SHREVEPORT, LA 71118-3351
(318) 671-5320
(318) 671-5317
Mailing address
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE C, SHREVEPORT, LA 71118-3351
(318) 671-5320
(318) 671-5317
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
04130R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182931
—
LA
Enumeration date
12/04/2006
Last updated
07/09/2007
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