NPI 1023006590

Fredric Thomas Siskron, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Shreveport, LA

Practice location

Address: 2915 Missouri Ave, Shreveport, LA 71109-4327
Phone: (318) 364-2000
Mailing address: PO Box 731280, Dallas, TX 75373-1280

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 010722 (LA)

Other Pathology providers in Louisiana →

Registry record

NPI: 1023006590
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2005
Record last updated: 11 Apr 2012

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.