Overton Brooks Va
NPI #1548404361 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1548404361
- Entity Type
- Organization
- Organization Name
- Overton Brooks Va
- Primary Specialty
- Military Hospital
- Enumeration Date
- Apr 23, 2009
- Last Updated
- Apr 23, 2009
Practice Location
- Address
- 510 E STONER AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4243
- Phone
- (318) 221-8411
Authorized Official
- Name
- WAYLON MALMAY, BSRT (R) (T)
- Title
- RADIATION THERAPIST
- Phone
- (318) 332-1589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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