Individual provider · Type 1 NPI

Connor Thomas Eckholdt, MD

Student in an Organized Health Care Education/Training Program · Shreveport, LA

NPI number 1194352831 Active

Practice location

1501 Kings Hwy # Surgery
Shreveport, LA 71103-4228

Call (318) 626-0617 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194352831

Connor Thomas Eckholdt, MD's National Provider Identifier is 1194352831, issued on Mar 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 24, 2020.