Individual
MR. ROBERT DEWITT MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4072
Mailing address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 638-6018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
05457
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075493
—
LA
Enumeration date
04/28/2008
Last updated
06/01/2016
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