MICHAEL TODD SHANKLE

SHREVEPORT, LA
NPI1093808693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN083416)
Enumeration Date2006-10-02
Last Update Date2007-07-09
Business Address
-- MICHAEL TODD SHANKLE CRNA
1 SAINT MARY PLACE PFS-PROF BILLING
SHREVEPORT, LA 71101
Phone number: 318-681-6878
Mailing Address
-- MICHAEL TODD SHANKLE CRNA
1 SAINT MARY PLACE PFS-PROF BILLING
SHREVEPORT, LA 71101
Phone number: 318-681-6878
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