Individual
CECIL CLIFTON DOPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 HERNDON ST, SHREVEPORT, LA 71101-4704
(318) 424-3867
(318) 424-5006
Mailing address
610 HERNDON ST, SHREVEPORT, LA 71101-4704
(318) 424-3867
(318) 424-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13604
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309958
—
LA
01
—
X9X050921
MEDICAID
TX
Enumeration date
09/01/2006
Last updated
03/20/2012
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