MARK DOUGLAS PORTA

SHREVEPORT, LA
NPI1275890436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  206897)
Enumeration Date2012-04-12
Last Update Date2015-07-30
Business Address
-- MARK DOUGLAS PORTA
1501 KINGS HWY LSUHSC DEPT. OF GASTROENTEROLOGY
SHREVEPORT, LA 71130
Phone number: 318-813-2502
Mailing Address
-- MARK DOUGLAS PORTA
1501 KINGS HWY LSUHSC DEPT. OF GASTROENTEROLOGY
SHREVEPORT, LA 71130
Phone number: 318-813-2502
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