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Individual

ANTHONY J. STUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103-3981
(318) 621-2929
(318) 621-2930
Mailing address
2551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103-3981
(318) 621-2929
(318) 621-2930

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200190
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1727423
LA
Enumeration date
02/09/2006
Last updated
11/15/2007
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