J. Gary Booker, Md, Apmc in Shreveport - Specialist

J. Gary Booker, Md, Apmc - NPI 1518157189

J. Gary Booker, Md, Apmc is a Specialist in Shreveport, Louisiana. J. Gary Booker, Md, Apmc practices all healthcare services and medical treatments related to Specialist. The NPI Number for J. Gary Booker, Md, Apmc is 1518157189. The last update date is 2007-07-30.

J. Gary Booker, Md, Apmc's current location address is 851 Olive St, Shreveport, Louisiana. You can contact this provider via phone number 3182279600 and fax number 3182279601. The mailing address for J. Gary Booker, Md, Apmc is 851 Olive St, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization J. Gary Booker, Md, Apmc
Address 851 Olive St, Shreveport, Louisiana
Phone Number 3182279600
Fax Number 3182279601
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Booker Gary J.
Credentials MD
Telephone Number 3182279600

NPI Number Detail

NPI Number 1518157189
Provider Enumeration Date 2007-07-30
Last Updated Date 2007-07-30

Provider Mailing Address Detail

Address 851 Olive St
City Shreveport
State Louisiana (LA)
Post Code 711042136
Phone Number 3182279600
Fax Number 3182279601

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD017803
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1013916642 LA NPI-INDIVIDUAL
1901750 LA --

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FAQs about J. Gary Booker, Md, Apmc

What is the unique identifier code issued to J. Gary Booker, Md, Apmc by the Centers for Medicare & Medicaid Services?

The J. Gary Booker, Md, Apmc has been assigned the NPI (National Provider Identifier) 1518157189. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where J. Gary Booker, Md, Apmc is physically located?

The J. Gary Booker, Md, Apmc is situated at the following address: 851 Olive St, Shreveport, LA 711042136.

What is the J. Gary Booker, Md, Apmc's area of specialization and corresponding taxonomy classification?

The J. Gary Booker, Md, Apmc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did J. Gary Booker, Md, Apmc receive its 1518157189 assignment?

The J. Gary Booker, Md, Apmc was assigned its 1518157189 on 2007-07-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to J. Gary Booker, Md, Apmc most recently updated or revised?

The information pertaining to J. Gary Booker, Md, Apmc, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-30.

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