JODY DALE CHANCE

SHREVEPORT, LA
NPI1740365733
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  201154)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: LA  201154)
Enumeration Date2006-10-26
Last Update Date2023-07-18
Business Address
Dr. JODY DALE CHANCE MD
5948 N MARKET ST
SHREVEPORT, LA 71107-2017
Phone number: 318-375-0001
Mailing Address
Dr. JODY DALE CHANCE MD
666 MA COUNTY ROAD 3314
BIVINS, TX 75555-5024
Phone number: 318-426-2814