Organization · Type 2 NPI
SLSC Medical Staff
Ambulatory Surgical Clinic/Center · Shreveport, LA
NPI number
1174863336
Active
Practice location
8711 Line Ave
Shreveport, LA 71106-6813
Fax (318) 841-4489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1174863336
SLSC Medical Staff's National Provider Identifier is 1174863336, issued on Feb 26, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Shreveport, LA. The record was last updated on Sep 20, 2019.