Jefferey D Adair, MD
Pain Medicine, Interventional Pain Medicine in Shreveport, LA. Individual provider (NPI-1).
NPI number1780665828
StatusActive
Last updated in NPPESJul 2, 2013
Details
- NPI
- 1780665828
- Entity type
- Individual (NPI-1)
- Name
- Jefferey D Adair
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2005
- Last updated
- Jul 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 020437 | LA | Yes |
| 207L00000X | Anesthesiology | MD020437 | LA |
Practice location
1455 E Bert Kouns Industrial Loop Ste 314Shreveport, LA 71105-5634
Phone 318-798-4448 · Fax 318-795-4713
Mailing address
Po Box 837Howe, TX 75459-0837
Phone 903-487-2248 · Fax 903-487-2306
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