DAVE PRAKASH

BOSSIER CITY, LA
NPI1912201435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
(Licence: NY  234586)
Enumeration Date2010-12-23
Last Update Date2010-12-23
Business Address
Dr. DAVE PRAKASH md
5526 LAKE SIDE DR
BOSSIER CITY, LA 71111-5504
Phone number: 315-882-2278
Mailing Address
Dr. DAVE PRAKASH md
PO BOX 184
BARKSDALE AFB, LA 71110-0184
Phone number: 315-882-2278
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