Individual
COLE HARRY EVENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
185 ARDMORE AVE, SHREVEPORT, LA 71105-2107
(318) 426-6747
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
331466
LA
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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