BRUCE CONRAD PURYEAR

SHREVEPORT, LA
NPI1821068016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: LA  249692)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CO  DR.0037671)
207L00000X Anesthesiology
(Licence: AZ  29325)
Enumeration Date2006-01-23
Last Update Date2026-02-06
Business Address
BRUCE CONRAD PURYEAR MD
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
BRUCE CONRAD PURYEAR MD
1541 KINGS HWY ATTN: PAYOR CREDENTIALING
SHREVEPORT, LA 71103-4228
Phone number: