Organization
PLASTIC SURGERY OF SHREVEPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M DAVIS MD (PRESIDENT)
(318) 797-9199
Entity
Organization
Contact information
Practice address
1666 E BERT KOUNS LOOP, STE 145, SHREVEPORT, LA 71105-5714
(318) 797-9199
(319) 797-9193
Mailing address
1666 EAST BERT KOUNS INS LOOP, STE 145, SHREVEPORT, LA 71105-5718
(318) 797-9199
(319) 797-9193
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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