PROGRESSIVE CHILDRENS CLINIC LLC

SHREVEPORT, LA
NPI1942573589
Entity TypeOrganization
Authorized ContactAMANDA KAMPERT
Owner
318-828-2210
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2012-02-13
Last Update Date2019-06-28
Business Address
PROGRESSIVE CHILDRENS CLINIC LLC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Phone number: 318-828-2210
Mailing Address
PROGRESSIVE CHILDRENS CLINIC LLC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Phone number: 318-828-2210
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