SLSC MEDICAL STAFF

SHREVEPORT, LA
NPI1174863336
Entity TypeOrganization
Authorized ContactKENNETH W SANDERS
Owner
318-841-4486
Organization Subpart ?Yes
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2013-02-26
Last Update Date2019-09-20
Business Address
SLSC MEDICAL STAFF
8711 LINE AVE
SHREVEPORT, LA 71106-6813
Phone number: 318-841-4486
Mailing Address
SLSC MEDICAL STAFF
8711 LINE AVE
SHREVEPORT, LA 71106-6813
Phone number: 318-698-8711
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