JORDAN BEVANS

SHREVEPORT, LA
NPI1861855256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-01
Last Update Date2016-04-01
Business Address
-- JORDAN BEVANS MD
1501 KINGS HWY ANESTHESIOLOGY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7195
Mailing Address
-- JORDAN BEVANS MD
1501 KINGS HWY ANESTHESIOLOGY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7195
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