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1942270293
RANDALL I DAVIS
SHREVEPORT, LA
NPI
1942270293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 023624)
Enumeration Date
2006-01-26
Last Update Date
2013-07-22
Business Address
-- RANDALL I DAVIS MD
1 SAINT MARY PL
SHREVEPORT, LA 71101-4343
Phone number: 318-773-5880
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Mailing Address
-- RANDALL I DAVIS MD
10745 LONGFELLOW TRCE
SHREVEPORT, LA 71106-9340
Phone number: 318-332-8297
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