Organization
GUICE CHIROPRACTIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DUDLEY GUICE D.C. (CHIROPRACTIC)
(318) 683-0300
Entity
Organization
Contact information
Practice address
7645 PINES RD, SHREVEPORT, LA 71129-3905
(318) 683-0300
(318) 687-3937
Mailing address
7645 PINES RD, SHREVEPORT, LA 71129-3905
(318) 683-0300
(318) 687-3937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
945
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811956592
INDIVIDUAL NPI
LA
01
—
HO433
BLUECROSS BLUE SHIELD
LA
Enumeration date
05/27/2008
Last updated
05/27/2008
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