Individual
DR. STEVEN W VENTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 JAMES AVE, SUITE B, FARMERVILLE, LA 71241-2237
(318) 368-0190
(318) 368-0405
Mailing address
811 JAMES AVE, SUITE B, FARMERVILLE, LA 71241-2237
(318) 368-0190
(318) 368-0405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12351R
LA
208000000X
Pediatrics Physician
12351R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699306
—
LA
01
—
721484656
OFFICE OF GROUP BENEFITS
LA
01
—
721484656-712410000
CHAMPUS
LA
Enumeration date
05/30/2006
Last updated
03/30/2012
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