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Organization

SHREVEPORT PROSTHETICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCHUYLER NELSON (PRESIDENT)
(214) 770-4161
Entity
Organization

Contact information

Practice address
745 OLIVE ST, SHREVEPORT, LA 71104-2246
(214) 770-4161
Mailing address
745 OLIVE ST, SHREVEPORT, LA 71104-2246
(214) 770-4161

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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