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1104322833
PETER KLUCAR
SHREVEPORT, LA
NPI
1104322833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 327839)
Enumeration Date
2018-04-02
Last Update Date
2023-10-18
Business Address
PETER KLUCAR MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
PETER KLUCAR MD
1501 KINGS HIGHWAY FAMILY MEDICINE
SHREVEPORT, LA 71103
Phone number: 318-626-0014
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