Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 202343 | LA |
NPI | 1073735338 |
---|---|
Provider Name | Powell Britain Auer |
First Address | Shreveport, LA 71105 |
Second Address | Shreveport, LA 71105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 11/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1305171 | (05) | LA |