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Dr. Gentry Lee Haughton, DPM
Foot & Ankle Surgery Podiatrist in Shreveport, Louisiana
NPI 1316171358

Gentry Lee Haughton is a Foot & Ankle Surgery Podiatrist based in Shreveport, LA and is specialized in Foot & Ankle Surgery. Gentry Lee Haughton practices in Shreveport, LA and has the professional credentials of DPM. The NPI Number for Gentry Lee Haughton is 1316171358 and holds a License No. T13-2009 (Louisiana).

The current practice location address for Gentry Lee Haughton is 1505 E Bert Kouns Industrial Loop # 101, Shreveport, LA and can be reached out via phone at 318-681-7480 and via fax at 318-681-7481. You can also correspond with Gentry Lee Haughton through the mailing address at PO BOX 5237, SHREVEPORT, LA - 71135-5237 (mailing address contact number: 318-798-4539).

Location: 1505 E Bert Kouns Industrial Loop # 101, Shreveport, LA, 71135-5237
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Provider Profile Details
NPI Number
1316171358
Provider Name
Gentry Lee Haughton
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1505 E Bert Kouns Industrial Loop # 101, Shreveport, LA, 71135-5237
Phone Number
318-681-7480
Fax Number
318-681-7481
Provider Enumeration Date
05/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2158210 05 LA
institution
Provider Business Practice Location Address Details
Address
1505 E Bert Kouns Industrial Loop # 101
City
State
Zip
71105-5723
Phone Number
318-681-7480
Fax Number
318-681-7481
person
Provider Business Mailing Address Details
Address
1505 E Bert Kouns Industrial Loop # 101
City
State
Zip
71105-5723
Phone Number
318-681-7480
Fax Number
318-681-7481
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
T13-2009 (Texas)
Definition
Definition to come...
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