Provider First Line Business Practice Location Address:
V.A MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SHREVEPORT HIGHWAY
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71306-9004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-473-0010
Provider Business Practice Location Address Fax Number:
318-483-5065
Provider Enumeration Date:
07/06/2006