Individual
STANLEY KEITH MCCALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 CLAIBORNE AVE, SCHOOL OF ALLIED HEALTH BUILDING, SHREVEPORT, LA 71103-4204
(318) 675-5000
Mailing address
1450 CLAIBORNE AVE, SCHOOL OF ALLIED HEALTH BUILDING, SHREVEPORT, LA 71103-4204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03166
LA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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