DORAN MACDONALD EVERED JOSEPH

SHREVEPORT, LA
NPI1629619671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  333433)
Enumeration Date2019-10-01
Last Update Date2022-12-16
Business Address
DORAN MACDONALD EVERED JOSEPH
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
DORAN MACDONALD EVERED JOSEPH
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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