BOMBINAMD LLC

NPI # 

Practice Address:

4140 Hollywood Ave , Suite B-2

Shreveport, LA, 71109-7818

Practice Phone:

318-946-8183

License Number:

15815R

License State:

LA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X