Bundrick and O'Neal Plastic Surgery (Amc)
Bundrick and O'Neal Plastic Surgery (Amc) provides Plastic Surgery Physician services in Shreveport, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2210 Line Ave Ste 204Shreveport, LA 71104-2152
Phone: (318) 221-9671
Fax: (318) 425-2343
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Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X |
|---|
Record details
| NPI number | 1093776429 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jill Patterson — Office Manager · (318) 221-9671 |
| NPI enumerated | March 28, 2006 |
| Last updated in NPPES | June 27, 2022 |
| Certification date | June 27, 2022 |
| Mailing address | 2210 Line Ave, Suite 204, Shreveport, LA 71104-2152 |
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