LEONARD TERRY MARTIN

SHREVEPORT, LA
NPI1679510457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  200825)
Enumeration Date2006-06-01
Last Update Date2023-02-27
Business Address
LEONARD TERRY MARTIN PA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
LEONARD TERRY MARTIN PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0177
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