Organization
MILTON SLOCUM MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON MOORE SLOCUM MD (MD/OWNER)
(318) 635-5151
Entity
Organization
Contact information
Practice address
3300 ALBERT L BICKNELL DR, SUITE 7B, SHREVEPORT, LA 71103-3903
(318) 635-5151
(318) 635-9191
Mailing address
3300 ALBERT L BICKNELL DR, SUITE 7B, SHREVEPORT, LA 71103-3903
(318) 635-5151
(318) 635-9191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
020179
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151977901
—
TX
05
—
1548570
—
LA
Enumeration date
06/16/2008
Last updated
06/16/2008
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