Organization
ANTONIO R. PIZARRO, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO R PIZARRO MD (OWNER)
(318) 221-0021
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 207, SHREVEPORT, LA 71101-4443
(318) 221-0021
(318) 221-0992
Mailing address
PO BOX 1466, SHREVEPORT, LA 71164-1466
(318) 221-0021
(318) 221-0992
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
23827
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487279
—
LA
Enumeration date
04/03/2007
Last updated
09/14/2007
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