Individual
ROBERT W. SHOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7939 HWY 165, COLUMBIA, LA 71418
(318) 649-6106
Mailing address
PO BOX 1079, COLUMBIA, LA 71418-1079
(318) 649-6106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
AP01020
LA
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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