IVAN SKOCIBUSIC

SHREVEPORT, LA
NPI1124962352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2471C3402X Radiologic Technologist, Radiography
(Licence: LA  561226)
Enumeration Date2026-04-17
Last Update Date2026-04-17
Business Address
IVAN SKOCIBUSIC RT (R)
5552 NORTHWOOD SOUTH RD
SHREVEPORT, LA 71107-9263
Phone number: 318-205-2667
Mailing Address
IVAN SKOCIBUSIC RT (R)
5552 NORTHWOOD SOUTH RD
SHREVEPORT, LA 71107-9263
Phone number: 318-205-2667