Individual
DR. DAYNE DANIEL HASSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 ONEONTA ST, SHREVEPORT, LA 71106-1129
(318) 869-1508
Mailing address
835 ONEONTA ST, SHREVEPORT, LA 71106-1129
(318) 869-1508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3202R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52486
—
LA
Enumeration date
07/30/2005
Last updated
07/09/2007
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