Organization
THOMAS RODSUWAN M D PMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C. RODSUWAN MD (PRESIDENT)
(318) 429-4930
Entity
Organization
Contact information
Practice address
2525 VIKING DRIVE, BOSSIER CITY, LA 71111-2058
(318) 841-2525
Mailing address
9630 NORRIS FERRY RD, SHREVEPORT, LA 71106-7720
(318) 212-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022753
LA
Other
Enumeration date
11/20/2012
Last updated
03/07/2016
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