DESTIN R. BLACK

SHREVEPORT, LA
NPI1306062625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
(Licence: LA  024725)
Enumeration Date2007-04-17
Last Update Date2021-06-18
Business Address
DESTIN R. BLACK MD
2600 KINGS HWY SUITE 420
SHREVEPORT, LA 71103-3950
Phone number: 318-212-8727
Mailing Address
DESTIN R. BLACK MD
2600 KINGS HWY SUITE 420
SHREVEPORT, LA 71103-3950
Phone number: 318-212-8727
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