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Dr. Randal Carl Anderson, MD
Diagnostic Radiology Physician in Shreveport, Louisiana
NPI 1851342182

Randal Carl Anderson is a Diagnostic Radiology Physician based in Santa Clara, LA and is specialized in Diagnostic Radiology. Randal Carl Anderson practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Randal Carl Anderson is 1851342182 and holds a License No. M-9167 (Louisiana).

The current practice location address for Randal Carl Anderson is 510 E Stoner Ave, Shreveport, LA and can be reached out via phone at 318-990-5322.

Location: 510 E Stoner Ave, Shreveport, LA, 84765-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851342182
Provider Name
Randal Carl Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
510 E Stoner Ave, Shreveport, LA, 84765-1249
Phone Number
318-990-5322
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00428982 01 AR RAILROAD MEDICARE
165862001 05 AR
institution
Provider Business Practice Location Address Details
Address
510 E Stoner Ave
City
Shreveport
State
Louisiana
Zip
71101-4243
Phone Number
318-990-5322
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Stoner Ave
City
Shreveport
State
Louisiana
Zip
71101-4243
Phone Number
318-990-5322
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
M-9167 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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