Thursday, August 11, 2022

JOHN W WATERFALLEN , MD in SHREVEPORT – NPI – 1164417309

JOHN W WATERFALLEN , MD in SHREVEPORT - NPI - 1164417309

JOHN W WATERFALLEN is a dentist based out of SHREVEPORT,Louisiana JOHN practices in SHREVEPORT,Louisiana and has the professional credentials of MD .The NPI Number for JOHN W WATERFALLEN is 1164417309 and he holds a Licence No. 14123(Louisiana).

JOHN current practice location address is 7941 YOUREE DR,,SHREVEPORT,Louisiana and he can be reached out via phone at 3187977941 and via fax at3187977991. You can also correspond with JOHN W WATERFALLEN through mail at his mailing address at7941 YOUREE DR,,SHREVEPORT,Louisiana – 711055538 (mailing address contact number – 711055538).

Provider Profile Details

Credential
NPI Number 1164417309
Provider Name JOHN W WATERFALLEN
MD
Gender 39271
Provider Entity Type Individual
Provider Enumeration Date 207V00000X
Last Update Date 38609

Provider Business Mailing Address Details

Address 7941 YOUREE DR,
City SHREVEPORT
State Louisiana
Zip 711055538
Phone Number 3187977941

Provider Business Practice Location Address Details

Address 7941 YOUREE DR,
City SHREVEPORT
State Louisiana
Zip 711055538
Phone Number 3187977941

Provider's Primary Taxonomy Details

Taxonomy 207V00000X
License No. 14123
State Louisiana

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