SPENCER SMODISH

SHREVEPORT, LA
NPI1023680030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-07-11
Last Update Date2021-07-11
Business Address
SPENCER SMODISH DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-1036
Mailing Address
SPENCER SMODISH DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-1036
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