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1851399265
BRUCE J PISTORIUS
SHREVEPORT, LA
NPI
1851399265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 015073)
Enumeration Date
2005-07-09
Last Update Date
2012-11-20
Business Address
Dr. BRUCE J PISTORIUS M.D.
1717 E. BERT KOUNS
SHREVEPORT, LA 71105-5561
Phone number: 318-212-3930
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Mailing Address
Dr. BRUCE J PISTORIUS M.D.
1717 E. BERT KOUNS
SHREVEPORT, LA 71105-5561
Phone number: 318-212-3930
Copy
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