Individual
KARL K BILDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7925 YOUREE DR, SUITE 200, SHREVEPORT, LA 71105-5538
(318) 798-6700
(318) 798-6799
Mailing address
7925 YOUREE DR, SUITE 200, SHREVEPORT, LA 71105-5538
(318) 798-6700
(318) 212-3677
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
09187R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950459
—
LA
Enumeration date
06/19/2006
Last updated
11/15/2007
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