| NPI | 1003032236 |
|---|---|
| Doing Business As | STONEWALL FAMILY MEDICINE |
| Doing Business As | BOSSIER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SANDY SPEARS Credentialing Manager 318-925-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-10-29 |