Individual
DR. THOMAS RYAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 HOSPITAL DR, SUITE 380, BOSSIER CITY, LA 71111-2385
(318) 631-9121
(318) 631-9126
Mailing address
2551 GREENWOOD RD, STE 350, SHREVEPORT, LA 71103-3989
(318) 212-8710
(318) 212-8699
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.14251R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408778
—
LA
Enumeration date
01/26/2007
Last updated
02/12/2020
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