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DR. STEVEN C WHITED MD

Allergy and Immunology

Shreveport, Louisiana

Provider NPI: 1679577340

Provider Information:
DR. STEVEN C WHITED MD


Practice Location:
1455 E BERT KOUNS LOOP  SHREVEPORT, LA 71105 US
Tel: 318-798-4573  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
LA04612R

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE030002753LA01
TEXAS MEDICAID NUMBER106533601TX01
ARKANSAS MEDICAID NUMBER139731001AR01
GROUP NPI NUMBER1053315946LA01
1193976LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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