NPI 1134548175

Danzell Family Medical Clinic

Organisation General Practice Physician Shreveport, LA

Practice location

Address: 2500 Kings Hwy, Shreveport, LA 71103-3922
Phone: (318) 631-4030
Fax: (318) 631-4031

Authorised official

Name: John Davis Danzell
Title: Medical Doctor
Phone: (318) 631-4030

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 013603 (LA)

Other General Practice providers in Louisiana →

Registry record

NPI: 1134548175
Entity type: Organization
NPI issued: 7 Apr 2014
Record last updated: 7 Apr 2014

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.