NPI 1003920232

Musculoskeletal Institute of Louisiana, LLC

Organisation Pain Medicine (Anesthesiology) Physician Shreveport, LA

Practice location

Address: 1534 Elizabeth Ave STE 201, Shreveport, LA 71101-4531
Phone: (318) 629-5505
Fax: (318) 629-5506
Mailing address: 1534 Elizabeth Ave STE 301, Shreveport, LA 71101-4531

Authorised official

Name: Janet T Burcham
Title: Credentialing Specialist
Phone: (318) 629-5002

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in Louisiana →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Louisiana →

Registry record

NPI: 1003920232
Entity type: Organization
NPI issued: 17 Aug 2006
Record last updated: 24 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.