CHARLES LEONARD BLACK

SHREVEPORT, LA
NPI1962555342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  015534)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
Dr. CHARLES LEONARD BLACK M.D.
7600 GENERAL MOTORS BLVD MEDICAL DEPARTMENT
SHREVEPORT, LA 71129-9426
Phone number: 318-683-9503
Mailing Address
Dr. CHARLES LEONARD BLACK M.D.
6006 E RIDGE DR
SHREVEPORT, LA 71106-2426
Phone number: 318-861-7555
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