Individual
DON B HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7330 FERN AVE, SUITE 402, SHREVEPORT, LA 71105-4971
(318) 221-2535
(318) 227-8636
Mailing address
PO BOX 2267, SHREVEPORT, LA 71166-2267
(318) 221-2535
(318) 227-8636
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
009971
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1181200
—
LA
Enumeration date
02/15/2007
Last updated
07/08/2007
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