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Individual

JARED A SCHAAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 681-4500
(318) 681-4177
Mailing address
10140 POYDRAS ST, SHREVEPORT, LA 71106-8513
(318) 798-2114

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023857
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487333
LA
Enumeration date
05/27/2006
Last updated
07/08/2007
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