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Individual

PATRICK H DEERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2539 VIKING DR, SUITE 101, BOSSIER CITY, LA 71111-1611
(318) 747-8100
(318) 747-8152
Mailing address
2539 VIKING DRIVE, SUITE 101, BOSSIER CITY, LA 71111-2165
(318) 747-8100
(318) 747-8152

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27068
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041009
LA
05
158170001
AR
01
31544
LA CDS
Enumeration date
02/10/2006
Last updated
03/07/2023
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