Individual
DR. JASON JUDE ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
845 OLIVE ST, SHREVEPORT, LA 71104-2101
(318) 222-3278
(318) 424-3155
Mailing address
845 OLIVE ST, SHREVEPORT, LA 71104-2101
(318) 222-3278
(318) 424-3155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
026086
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054097
—
LA
Enumeration date
05/01/2006
Last updated
07/08/2007
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