TANNER HEGEFELD

SHREVEPORT, LA
NPI1952921959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  343600)
Enumeration Date2020-04-20
Last Update Date2024-11-27
Business Address
TANNER HEGEFELD DO
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
TANNER HEGEFELD DO
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number:
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