DWAYNE KELLER

SHREVEPORT, LA
NPI1588675839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  MD.020144)
Enumeration Date2006-08-11
Last Update Date2015-12-09
Business Address
-- DWAYNE KELLER MD
510 E STONER AVE OVERTON-BROOKS VA MEDICAL CENTER
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6025
Mailing Address
-- DWAYNE KELLER MD
510 E. STONER AVE. OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA 71101
Phone number: 318-990-5325
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