Bruce J Pistorius in Shreveport - Pediatrics

Bruce J Pistorius - NPI 1851399265

Bruce J Pistorius is a Pediatrics in Shreveport, Louisiana. Bruce J Pistorius practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bruce J Pistorius is 1851399265. The last update date is 2012-11-20.

Bruce J Pistorius's current location address is 1717 E. Bert Kouns, Shreveport, Louisiana. You can contact this provider via phone number 3182123930 and fax number 3182123935. The mailing address for Bruce J Pistorius is 1717 E. Bert Kouns, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce J Pistorius
Address 1717 E. Bert Kouns, Shreveport, Louisiana
Phone Number 3182123930
Fax Number 3182123935
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1851399265
Provider Enumeration Date 2005-07-09
Last Updated Date 2012-11-20

Provider Mailing Address Detail

Address 1717 E. Bert Kouns
City Shreveport
State Louisiana (LA)
Post Code 711055561
Phone Number 3182123930
Fax Number 3182123935

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 15073
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1313688 LA --

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FAQs about Bruce J Pistorius

What is the unique provider identifier assigned to Bruce J Pistorius?

The Bruce J Pistorius has been issued the NPI (National Provider Identifier) 1851399265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Bruce J Pistorius's facilities are geographically located?

The facilities of Bruce J Pistorius are physically situated at the following location: 1717 E. Bert Kouns, Shreveport, LA, 711055561.

What is Bruce J Pistorius's area of expertise and its corresponding taxonomy classification?

The Bruce J Pistorius's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Bruce J Pistorius receive the assignment of its 1851399265 from the Centers for Medicare & Medicaid Services?

The Bruce J Pistorius was issued its 1851399265 by the Centers for Medicare & Medicaid Services on 2005-07-09.

As of what date was the information regarding Bruce J Pistorius, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bruce J Pistorius, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-20.

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