Organization
DANIEL R. KNIGHT, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ROBERT KNIGHT MD (MD/OWNER)
(318) 798-4595
Entity
Organization
Contact information
Practice address
7607 FERN AVE, #502, SHREVEPORT, LA 71105-5739
(318) 798-4595
Mailing address
PO BOX 53316, SHREVEPORT, LA 71135-3316
(318) 798-4595
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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