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Organization

SHREVEPROT DOCTORS REHAB, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G HARVEY JR. (PRESIDENT)
(504) 821-2574
Entity
Organization

Contact information

Practice address
1800 BUCKNER ST, SUITE A-206, SHREVEPORT, LA 71101-4440
(318) 678-8801
(318) 678-8807
Mailing address
1800 BUCKNER ST, SUITE A-206, SHREVEPORT, LA 71101-4440
(318) 678-8801
(318) 678-8807

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary

Other

Enumeration date
02/12/2007
Last updated
08/22/2020
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