Individual
DR. VICTORIA L EVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2530 BERT KOUNS LOOP, SUITE 138, SHREVEPORT, LA 71118-3132
(318) 212-5911
(318) 212-5168
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8574
(318) 212-4153
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
MD11085R
LA
207Q00000X
Family Medicine Physician
11085R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584258
—
LA
Enumeration date
06/29/2006
Last updated
06/24/2021
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