Individual
DR. JOHN ANTHONY VANCHIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
1501 KINGS HWY # 5-303, SHREVEPORT, LA 71103-4228
(318) 675-6081
(318) 675-6059
Mailing address
1501 KINGS HWY # 5-303, SHREVEPORT, LA 71103-4228
(318) 675-6081
(318) 675-6059
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
L6693
TX
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD023912
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014559
—
LA
05
—
158010201
—
TX
Enumeration date
10/17/2006
Last updated
09/28/2007
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