Individual
ROBERT S. THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 LINE AVE, SHREVEPORT, LA 71104-2126
(318) 226-9441
(318) 425-3236
Mailing address
2121 LINE AVE, SHREVEPORT, LA 71104-2126
(318) 226-9441
(318) 425-3236
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
03480R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171662
—
LA
Enumeration date
06/23/2005
Last updated
10/07/2020
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