MICHAEL BIVENS BRANNAN

SHREVEPORT, LA
NPI1861495822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine Gastroenterology
(Licence: LA  04481R)
Enumeration Date2005-05-24
Last Update Date2008-03-31
Business Address
DR. MICHAEL BIVENS BRANNAN M.D.
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
Mailing Address
DR. MICHAEL BIVENS BRANNAN M.D.
PO BOX 38150
SHREVEPORT, LA 71133-8150
Phone number: 318-631-9121
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