Individual
MS. PEGGY FORD BASSFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LRTT
Contact information
Practice address
243 CURTISS RD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6327
(318) 456-6814
Mailing address
9810 VILLAGE GREEN DR, SHREVEPORT, LA 71115-2810
(318) 798-7643
Taxonomy
Speciality
Code
Description
License number
State
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
Primary
CRT.LT0446
LA
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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