COLLEEN C FULLER

SHREVEPORT, LA
NPI1790764835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: LA  014708)
Enumeration Date2006-01-16
Last Update Date2011-11-17
Business Address
-- COLLEEN C FULLER M.D.
1945 E 70TH ST SUITE B
SHREVEPORT, LA 71105-5347
Phone number: 318-797-1743
Mailing Address
-- COLLEEN C FULLER M.D.
PO BOX 52448
SHREVEPORT, LA 71135-2448
Phone number: 318-797-1743
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