MR. Marvin Keith Rainwater, PA
NPI #1457310773 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1457310773
- Entity Type
- Individual
- Name
- MR. Marvin Keith Rainwater, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Mar 23, 2006
- Last Updated
- Jan 11, 2024
Practice Location
- Address
- 1541 KINGS HWY
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-4228
- Phone
- (318) 626-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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