Individual
DONALD RAY SPEARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3620
(318) 780-0350
(318) 525-1075
Mailing address
6509 LONG TIMBERS DR, SHREVEPORT, LA 71119-3407
(318) 780-0350
(318) 525-1075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534820
—
LA
Enumeration date
10/21/2009
Last updated
10/21/2009
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