Individual
CHRISTOPHER MICHEAL MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2551 GREENWOOD RD STE 210, SHREVEPORT, LA 71103-3985
(318) 635-0834
(318) 636-2331
Mailing address
2551 GREENWOOD RD STE 210, SHREVEPORT, LA 71103-3985
(318) 635-0834
(318) 636-2331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200337
LA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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