Individual
DR. DONNIE FRANKLIN AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 ALBERT BICKNELL DR, STE 4A, SHREVEPORT, LA 71103
(318) 212-4275
(318) 212-8511
Mailing address
2751 ALBERT BICKNELL DR, STE 4A, SHREVEPORT, LA 71103
(318) 212-4275
(318) 212-8511
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
019709
LA
208600000X
Surgery Physician
019709
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1968552
—
LA
Enumeration date
07/21/2006
Last updated
08/15/2022
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