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Individual

DR. F DEAN GRIFFEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-5000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
010014
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1120499
LA
01
52770F600
MEDICARE - PTAN
LA
Enumeration date
06/09/2005
Last updated
09/11/2014
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