| NPI | 1558580357 |
|---|---|
| Doing Business As | SHREVEPORT GERIATRICS |
| Entity Type | Organization |
| Authorized Contact | THOMAS A REILLY Owner 318-222-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-04-29 |