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1720067861
KEITH R MAYFIELD
SHREVEPORT, LA
NPI
1720067861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 019452)
Enumeration Date
2006-01-16
Last Update Date
2011-11-17
Business Address
-- KEITH R MAYFIELD M.D.
1945 E 70TH ST SUITE B
SHREVEPORT, LA 71105-5347
Phone number: 318-797-1743
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Mailing Address
-- KEITH R MAYFIELD M.D.
PO BOX 52448
SHREVEPORT, LA 71135-2448
Phone number: 318-797-1743
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