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Organization

SPINE INSTITUTE OF LOUISIANA LLC

Active
Other names
Spine Institute of Louisiana
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PIERCE D. NUNLEY M.D. (MEDICAL DIRECTOR)
(318) 629-5555
Entity
Organization

Contact information

Practice address
1500 LINE AVE, SUITE 200, SHREVEPORT, LA 71101-4639
(318) 629-5555
(318) 629-5556
Mailing address
1500 LINE AVE, SUITE 200, SHREVEPORT, LA 71101-4639
(318) 629-5555
(318) 629-5556

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
04/29/2011
Last updated
10/08/2024
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