NPI 1083953137

Skin Surgery Specialists

Organisation Procedural Dermatology Physician Shreveport, LA

Practice location

Address: 8575 Business Park Dr, Shreveport, LA 71105-5655
Phone: (678) 448-8276
Mailing address: 10884 Dauphine St, Shreveport, LA 71106-8523

Authorised official

Name: James Keane
Title: Owner/Administrator
Phone: (678) 448-8276

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence MD.205964 (LA)

Other Dermatology providers in Louisiana →

Registry record

NPI: 1083953137
Entity type: Organization
NPI issued: 10 Feb 2013
Record last updated: 18 Jul 2013

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.