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1083606040
ROY BRANDHURST
SHREVEPORT, LA
NPI
1083606040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 022554)
Enumeration Date
2005-08-16
Last Update Date
2007-07-08
Business Address
-- ROY BRANDHURST MD
8001 YOUREE DR
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3500
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Mailing Address
-- ROY BRANDHURST MD
PO BOX 32600
SHREVEPORT, LA 71130-2600
Phone number: 318-212-4877
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