Individual
CHRISTOPHER JORDAN BURFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 655-0835
Mailing address
5075 DIXIE GARDEN DR, SHREVEPORT, LA 71105-4027
(318) 655-0835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN083054
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
202458
LA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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