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Individual

DR. SAM RAY SILVERBLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1803 E 70TH ST, SHREVEPORT, LA 71105-5301
(318) 798-4000
(318) 798-4001
Mailing address
1803 E 70TH ST, SHREVEPORT, LA 71105-5301
(318) 798-4000
(318) 798-4001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
900-86T
LA

Other

Enumeration date
10/03/2006
Last updated
09/11/2008
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