Organization
DAVID J. COLVIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J COLVIN M.D. (OWNER)
(318) 797-1687
Entity
Organization
Contact information
Practice address
148 WATERS EDGE DR, SHREVEPORT, LA 71106-7774
(318) 797-1687
Mailing address
148 WATERS EDGE DR, SHREVEPORT, LA 71106-7774
(318) 797-1687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022840
LA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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