Individual
MICHAEL FUTRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 HEARNE AVE, SHREVEPORT, LA 71103-3931
(318) 631-6400
(318) 631-0300
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0100
(318) 631-6400
(318) 631-0300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
014397
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303437
—
LA
Enumeration date
02/21/2006
Last updated
07/08/2007
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