Individual
MICHAEL I PRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5162
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5162
(304) 691-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22515
WV
207RC0000X
Cardiovascular Disease Physician
22515
WV
207RC0001X
Clinical Cardiac Electrophysiology Physician
22515
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651405
—
OH
05
—
3810007176
—
WV
Enumeration date
11/13/2006
Last updated
10/07/2025
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