Whalio Doctors

NPI 1053541565

Jode Jann Burgin, MD

Practitioner Family Medicine Physician Shreveport, LA

Practice location

Address
9220 Ellerbe Rd Suite 700, Shreveport, LA 71106-6739
Phone
(318) 681-5282
Fax
(318) 681-5284
Mailing address
919 Hidden Rdg, Irving, TX 75038-3813

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4301095167 (MI)

Registry record

NPI
1053541565
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2009
Record last updated
11 Jan 2017

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.