Individual
DR. SCOTT F CASSINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 THORA BLVD, SHREVEPORT, LA 71106-1519
(318) 868-4331
Mailing address
833 THORA BLVD, SHREVEPORT, LA 71106-1519
(318) 868-4331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012584
CDS
—
05
—
1355178
—
LA
Enumeration date
10/17/2006
Last updated
03/07/2023
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