Regional Urology Asc LLC
NPI #1265437743 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1265437743
- Entity Type
- Organization
- Organization Name
- Regional Urology Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 20, 2005
- Last Updated
- Jan 7, 2022
Practice Location
- Address
- 255 BERT KOUNS LOOP
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-8150
- Phone
- (318) 683-0411
Authorized Official
- Name
- THOMAS E PALMER, MD
- Title
- BOARD MEMBER
- Phone
- (318) 683-0411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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