WALLS MEDICINE CLINIC LLC

SHREVEPORT, LA
NPI1497937601
Entity TypeOrganization
Authorized ContactWENDELL E. WALL
Owner
318-675-1800
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  11458R)
Enumeration Date2007-11-29
Last Update Date2018-11-09
Business Address
WALLS MEDICINE CLINIC LLC
1801 FAIRFIELD AVE. STE 200
SHREVEPORT, LA 71101
Phone number: 318-675-1800
Mailing Address
WALLS MEDICINE CLINIC LLC
1801 FAIRFIELD AVE. STE 200
SHREVEPORT, LA 71101
Phone number: 318-675-1800
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