Individual
DAVID RALPH JANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HIGHWAY, FAMILY MEDICINE, SHREVEPORT, LA 71130-3932
(318) 626-0014
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
330472
LA
207Q00000X
Family Medicine Physician
Primary
330472
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
01/05/2024
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