Regional Urology Asc Llc

NPI Provider: 1265437743
Contact Name: Germany D German
Position: Physician/owner
Phone: (318) 683-0411

Regional Urology Asc Llc Information:

Regional Urology Asc Llc organization have npi 1265437743, taxonomy code is 261QA1903X with license number is 100 in . This Business address located in PO Box 6270, Shreveport, LA 71136 Louisiana.

Practice Location
Address: 255 Bert Kouns Loop, Shreveport, LA 71106
Phone: (318) 683-0411

Business Location
Address: PO Box 6270, Shreveport, LA 71136
Phone: (318) 683-0411
Fax: (718) 968-8653

Taxonomy

Taxonomy Code: 261QA1903X

License Number: 100

License Number of State: LA

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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