Individual
PAIGE BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-6262
(318) 675-6260
Mailing address
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-6262
(318) 675-6260
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD.205026
LA
Other
Enumeration date
05/03/2010
Last updated
07/22/2016
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