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Destin R. Black, MD
Gynecologic Oncology Physician in Shreveport, Louisiana
NPI 1306062625

Destin R. Black is a Gynecologic Oncology Physician based in Shreveport, LA and is specialized in Gynecologic Oncology. Destin R. Black practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Destin R. Black is 1306062625 and holds a License No. 024725 (Louisiana).

The current practice location address for Destin R. Black is 2600 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-212-8727 and via fax at 318-212-8771.

Location: 2600 Kings Hwy, Shreveport, LA, 71103-3950
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Provider Profile Details
NPI Number
1306062625
Provider Name
Destin R. Black
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2600 Kings Hwy, Shreveport, LA, 71103-3950
Phone Number
318-212-8727
Fax Number
318-212-8771
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1577936 05 LA
4K574F600 01 LA MEDICARE - PTAN
institution
Provider Business Practice Location Address Details
Address
2600 Kings Hwy
City
State
Zip
71103-3950
Phone Number
318-212-8727
Fax Number
318-212-8771
person
Provider Business Mailing Address Details
Address
2600 Kings Hwy
City
State
Zip
71103-3950
Phone Number
318-212-8727
Fax Number
318-212-8771
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
024725 (Louisiana)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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