MALCOLM A MCMILLAN

SHREVEPORT, LA
NPI1275538738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN078292)
Enumeration Date2005-06-20
Last Update Date2013-05-24
Business Address
-- MALCOLM A MCMILLAN CRNA
255 BERT KOUNS LOOP
SHREVEPORT, LA 71106-8150
Phone number: 318-683-0411
Mailing Address
-- MALCOLM A MCMILLAN CRNA
PO BOX 6270
SHREVEPORT, LA 71136-6270
Phone number: 318-683-0411
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