Paul Stuart Wilson in Shreveport - Addiction Medicine
Paul Stuart Wilson - NPI 1902838105
Paul Stuart Wilson is a Addiction Medicine in Shreveport, Louisiana. Paul Stuart Wilson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Paul Stuart Wilson is 1902838105. The last update date is 2022-12-01.
Paul Stuart Wilson's current location address is 1666 E Bert Koun Loop Ste 105, Shreveport, Louisiana. You can contact this provider via phone number 3182123520 and fax number 3182123525. The mailing address for Paul Stuart Wilson is 1666 E Bert Koun Loop Ste 105, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Stuart Wilson |
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Address | 1666 E Bert Koun Loop Ste 105, Shreveport, Louisiana |
Phone Number | 3182123520 |
Fax Number | 3182123525 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1902838105 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2022-12-01 |
Provider Mailing Address Detail
Address | 1666 E Bert Koun Loop Ste 105 |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711055718 |
Phone Number | 3182123520 |
Fax Number | 3182123525 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Licence No | MD.020189 |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1911879 | LA | -- |
Post Comment/ Review Below
What is the Paul Stuart Wilson's 1902838105?
The Paul Stuart Wilson's NPI (National Provider Identifier) Number is 1902838105. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Paul Stuart Wilson is physically located?
The Paul Stuart Wilson is situated at the following address: 1666 E Bert Koun Loop Ste 105, Shreveport, LA 711055718.
What is the area of specialization for Paul Stuart Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul Stuart Wilson is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0401X.
When did the Paul Stuart Wilson receive its 1902838105?
The Paul Stuart Wilson was issued its 1902838105 on 2006-07-07, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Paul Stuart Wilson most recently updated or revised?
The details related to Paul Stuart Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-01.
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