Individual
PHILIP DONALD ISHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5185
(318) 675-7950
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5185
(318) 675-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13714R
LA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
13714R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423131
—
LA
Enumeration date
06/23/2006
Last updated
04/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us