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Individual

JOSHUA DAVID MAIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
510 E STONER AVE, DEPARTMENT OF MEDICINE, SHREVEPORT, LA 71101-4243
(318) 990-5053
Mailing address
510 E STONER AVE, DEPARTMENT OF MEDICINE, SHREVEPORT, LA 71101-4243
(318) 990-5053

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.202759
LA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD.202759
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09996
LA
Enumeration date
05/25/2007
Last updated
07/31/2013
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