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Organization

OVERTON BROOKS VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA JEAN BROWN RRT (SUPERVISOR)
(318) 221-8411
Entity
Organization

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
500 NORTHPARK DR, BOSSIER CITY, LA 71111-2210
(318) 746-2079

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RRT.LORO22
LA

Other

Enumeration date
12/11/2006
Last updated
08/22/2020
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