DANZELL FAMILY MEDICAL CLINIC is a general practice in Shreveport, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DANZELL FAMILY MEDICAL CLINIC NPI is 1134548175. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2500 KINGS HWY
SHREVEPORT, LA
ZIP 71103-922
Phone: (318) 631-4030
Fax: (318) 631-4031
The provider's authorized official is John Davis Danzell .
The authorized official title is Medical Doctor and has the following contact phone number (318) 631-4030.
The CLIA number assigned to this NPI record is 19D0710774 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/7/2014 and was last updated on 4/7/2014.