Individual
DR. ALEX LEV GLOTSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-4147
Mailing address
2381 TALLGRASS CIR, BOSSIER CITY, LA 71111-6730
(504) 344-9975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
306506
LA
208D00000X
General Practice Physician
306506
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389734
—
LA
Enumeration date
03/27/2015
Last updated
01/15/2020
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