Individual
JEFFREY FRANK FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2514 BERT KOUNS LOOP, SUITE 6, SHREVEPORT, LA 71118-3146
(318) 212-5966
(318) 212-5963
Mailing address
2514 BERT KOUNS LOOP, SUITE 6, SHREVEPORT, LA 71118-3146
(318) 212-5966
(318) 212-5963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.018473
LA
207R00000X
Internal Medicine Physician
Primary
018473
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932787
—
LA
Enumeration date
06/30/2006
Last updated
07/09/2015
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