Slsc Medical Staff
NPI #1174863336 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1174863336
- Entity Type
- Organization
- Organization Name
- Slsc Medical Staff
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPRING LAKE SURGERY CENTER, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 26, 2013
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 8711 LINE AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-6813
- Phone
- (318) 841-4486
Authorized Official
- Name
- DR. KENNETH W SANDERS, MD
- Title
- OWNER
- Phone
- (318) 841-4486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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