Individual
DR. JEFFREY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 LINE AVE, SHREVEPORT, LA 71101-4639
(318) 629-5001
(318) 629-5020
Mailing address
1534 ELIZABETH AVE, STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5002
(318) 629-6020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
325722
LA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
325722
LA
Other
Enumeration date
04/27/2015
Last updated
04/25/2022
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