Organization
BRYN-FINCHER PULMONARY & CRITICAL CARE
Active
Other names
Pulmonary Disease Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE P BRYN RN (ADMINISTRATOR OFFICE MANAGER)
(318) 635-0834
Entity
Organization
Contact information
Practice address
2551 GREENWOOD ROAD, STE 210, SHREVEPORT, LA 71103-3905
(318) 635-0834
(318) 636-2331
Mailing address
2551 GREENWOOD ROAD, STE 210, SHREVEPORT, LA 71103-3905
(318) 635-0834
(318) 636-2331
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14433
BCBS LA
LA
05
—
1793761
—
LA
Enumeration date
09/25/2006
Last updated
08/22/2020
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