LARRY CLYDE DANIELS

SHREVEPORT, LA
NPI1700997160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  06282R)
Enumeration Date2006-08-31
Last Update Date2019-11-15
Business Address
Dr. LARRY CLYDE DANIELS MD
350 JORDAN ST
SHREVEPORT, LA 71101-4847
Phone number: 318-779-2417
Mailing Address
Dr. LARRY CLYDE DANIELS MD
350 JORDAN STREET
SHREVEPORT, LA 71101
Phone number: 318-779-2417
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