Individual
TIFFANY ALEXIS NAJBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 MARKET ST, SHREVEPORT, LA 71101-2830
(318) 801-4120
Mailing address
201 MARKET ST, SHREVEPORT, LA 71101-2830
(318) 299-6512
(318) 299-6512
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.000009
LA
261QP2300X
Primary Care Clinic/Center
DO.000009
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02408202
—
MS
05
—
1064203
—
LA
Enumeration date
08/20/2007
Last updated
01/15/2023
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