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1902950363
RICHARD A AYCOCK
SHREVEPORT, LA
NPI
1902950363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 09978R)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- RICHARD A AYCOCK MD
2510 BERT KOUNS INDISTRIAL LOOP
SHREVEPORT, LA 71118
Phone number: 318-212-5500
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Mailing Address
-- RICHARD A AYCOCK MD
PO BOX 32600
SHREVEPORT, LA 71130-2600
Phone number: 318-212-4877
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