GEORGE S PARK

BOSSIER CITY, LA
NPI1437199031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TP0016X Psychologist Prescribing (Medical)
(Licence: LA  MP0983)
Enumeration Date2006-06-08
Last Update Date2016-01-11
Business Address
DR. GEORGE S PARK PH.D., M.P.
2285 BENTON RD BLDG 3 SUITE 401
BOSSIER CITY, LA 71111-7933
Phone number: 318-415-8755
Mailing Address
DR. GEORGE S PARK PH.D., M.P.
PO BOX 5478
BOSSIER CITY, LA 71171-5478
Phone number: 318-415-8755
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