NPI 1548404361

Overton Brooks VA

Organisation Military Hospital Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 221-8411
Mailing address: 4855 Airline Dr APT 37d, Bossier City, LA 71111-6652

Authorised official

Name: Waylon Malmay
Title: Radiation Therapist
Phone: (318) 332-1589

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

Other Military Hospital providers in Louisiana →

Registry record

NPI: 1548404361
Entity type: Organization
NPI issued: 23 Apr 2009
Record last updated: 23 Apr 2009

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.