Organization · Type 2 NPI

Southern Pediatric Clinic

Primary Care Clinic/Center · Shreveport, LA

NPI number 1508237256 Active

Practice location

4571 N Market St
Shreveport, LA 71107-2917

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMD12866R (LA)

Primary Care Clinic/Center: Definition to come...

45 other providers at this address

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About NPI 1508237256

Southern Pediatric Clinic's National Provider Identifier is 1508237256, issued on Oct 7, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shreveport, LA. The record was last updated on Oct 7, 2015.