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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