Organization · NPI-2

Cameron Sandefur, D.O., P.L.L.C.

Hospitalist · Shreveport, LA

NPI number1003677741
StatusActive
Last updated in NPPESJan 19, 2024

Details

NPI
1003677741
Entity type
Organization (NPI-2)
Legal business name
Cameron Sandefur, D.O., P.L.L.C.
Organization subpart
No
Enumeration date
Jan 19, 2024
Certification date
Jan 19, 2024
Last updated
Jan 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist––Yes

Practice location

1541 Kings Hwy Ste 10th
Shreveport, LA 71103-4228

Phone 318-688-8504

Mailing address

2243 Landau Ln
Bossier City, LA 71111-5550

Phone 318-578-0697

Authorized official

Cameron Sandefur
Manager
3185780697

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