Individual
DR. SANDERS FOWLER HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 E BERT KOUNS, SUITE 100, SHREVEPORT, LA 71115
(318) 222-3695
(318) 424-0717
Mailing address
1811 E BERT KOUNS, SUITE 100, SHREVEPORT, LA 71115
(318) 222-3695
(318) 424-0717
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
013230
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1362867
—
LA
Enumeration date
07/26/2005
Last updated
05/12/2009
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