Danzell Family Medical Clinic

NPI #1134548175 in Shreveport, Louisiana

Provider Information

NPI Number: 1134548175
Entity Type: Organization
Organization Name: Danzell Family Medical Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: DANZELL FAMILY MEDICAL CLINIC
Primary Specialty: General Practice
Enumeration Date: Apr 7, 2014
Last Updated: Apr 7, 2014

Practice Location

Address: 2500 KINGS HWY
City: Shreveport
State: Louisiana
ZIP Code: 71103-3922
Phone: (318) 631-4030

Authorized Official

Name: MR. JOHN DAVIS DANZELL JR., M.D.
Title: MEDICAL DOCTOR
Phone: (318) 631-4030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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