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Individual

HARRISON D MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 E PRESTON AVE, SHREVEPORT, LA 71105-2704
(318) 841-9532
Mailing address
1000 E PRESTON AVE, SHREVEPORT, LA 71105-2704
(318) 841-9532

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
340915
LA

Other

Enumeration date
03/21/2018
Last updated
10/10/2024
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