Individual
DAVID JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 E BERT KOUN LOOP, SHREVEPORT, LA 71105
(318) 424-8373
Mailing address
1811 E BERT KOUN LOOP STE 430, SHREVEPORT, LA 71105-5764
(318) 424-8373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0087887
MD
208C00000X
Colon & Rectal Surgery Physician
D87887
MD
Other
Enumeration date
03/22/2013
Last updated
03/25/2025
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