Whalio Doctors

NPI 1023005758

Dermatology and Skin Surgery Apmc

Organisation Dermatology Physician Shreveport, LA

Practice location

Address
9007 Ellerbe Rd, Shreveport, LA 71106-6724
Phone
(318) 222-3278
Fax
(318) 424-3155

Authorised official

Name
Jack S Resneck
Title
President
Phone
(318) 222-3278

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI
1023005758
Entity type
Organization
NPI issued
27 Sep 2005
Record last updated
22 Apr 2026

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.