SHIVA DOTY

SHREVEPORT, LA
NPI1912933110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  PA200026)
Enumeration Date2006-06-23
Last Update Date2014-09-10
Business Address
-- SHIVA DOTY PA-C
1501 KINGS HWY EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7205
Mailing Address
-- SHIVA DOTY PA-C
1501 KINGS HWY EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7205
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