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1710956255
BRADLEY C. COLVIN
SHREVEPORT, LA
NPI
1710956255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 024982)
Enumeration Date
2006-03-16
Last Update Date
2022-07-21
Business Address
BRADLEY C. COLVIN MD
9111 SUSAN DR
SHREVEPORT, LA 71118-3136
Phone number: 318-212-5343
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Mailing Address
BRADLEY C. COLVIN MD
9111 SUSAN DR
SHREVEPORT, LA 71118-3136
Phone number: 318-212-5343
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