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1982340667
DP WYATT LLC
SHREVEPORT, LA
NPI
1982340667
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Entity Type
Organization
Authorized Contact
POWELL B AUER
Owner
318-990-9099
Organization Subpart ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date
2022-05-06
Last Update Date
2022-05-06
Business Address
DP WYATT LLC
708 NORTH ASHLEY RIDGE LOOP BUILDING 400
SHREVEPORT, LA 71106
Phone number: 318-698-7000
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Mailing Address
DP WYATT LLC
PO BOX 5237
SHREVEPORT, LA 71135-5237
Phone number: 318-798-4539
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