Individual
ROSARIO MARIA RIEL-ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF NEUROLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2482
(318) 813-2491
Mailing address
1501 KINGS HWY, DEPARTMENT OF NEUROLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2482
(318) 813-2491
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
15713R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464180
—
LA
Enumeration date
07/09/2006
Last updated
07/29/2009
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