Individual
SUSANNAH P WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1549 E 70TH ST, STE 300, SHREVEPORT, LA 71105-5053
(318) 681-7920
Mailing address
1549 E 70TH ST, STE 300, SHREVEPORT, LA 71105-5053
(318) 681-7920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD202469
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07923
—
LA
05
—
1079235
—
LA
Enumeration date
05/24/2007
Last updated
03/18/2015
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