person
Patrick W Peavy, MD
Diagnostic Radiology Physician in Shreveport, Louisiana
NPI 1669429882

Patrick W Peavy is a Diagnostic Radiology Physician based in Shreveport, LA and is specialized in Diagnostic Radiology. Patrick W Peavy practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Patrick W Peavy is 1669429882 and holds a License No. MD010374 (Louisiana).

The current practice location address for Patrick W Peavy is 1 Saint Mary Pl, Shreveport, LA and can be reached out via phone at 318-222-1149 and via fax at 318-425-2335. You can also correspond with Patrick W Peavy through the mailing address at PO BOX 44123, SHREVEPORT, LA - 71134-4123 (mailing address contact number: 318-222-1149).

Location: 1 Saint Mary Pl, Shreveport, LA, 71134-4123
person
Provider Profile Details
NPI Number
1669429882
Provider Name
Patrick W Peavy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Saint Mary Pl, Shreveport, LA, 71134-4123
Phone Number
318-222-1149
Fax Number
318-425-2335
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184721 05 LA
institution
Provider Business Practice Location Address Details
Address
1 Saint Mary Pl
City
State
Zip
71101-4343
Phone Number
318-222-1149
Fax Number
318-425-2335
person
Provider Business Mailing Address Details
Address
Po Box 44123
City
State
Zip
71134-4123
Phone Number
318-222-1149
Fax Number
318-425-2335
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD010374 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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