NPI 1093776429

Bundrick and O'Neal Plastic Surgery (amc)

Organisation Plastic Surgery Physician Shreveport, LA

Practice location

Address: 2210 Line Ave Suite 204, Shreveport, LA 71104-2152
Phone: (318) 221-9671
Fax: (318) 425-2343

Authorised official

Name: Jill Patterson
Title: Office Manager
Phone: (318) 221-9671

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Louisiana →

Registry record

NPI: 1093776429
Entity type: Organization
NPI issued: 28 Mar 2006
Record last updated: 27 Jun 2022

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.