MARVIN KEITH RAINWATER

SHREVEPORT, LA
NPI1457310773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  322314)
Enumeration Date2006-03-23
Last Update Date2024-01-11
Business Address
Mr. MARVIN KEITH RAINWATER PA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
Mr. MARVIN KEITH RAINWATER PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number:
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