Progressive Childrens Clinic LLC
Progressive Childrens Clinic LLC is a Pediatrics Physician in Shreveport, Louisiana. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1919 Fairfield AveShreveport, LA 71101
Phone: (318) 828-2210
Fax: (318) 828-2215
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1942573589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amanda Kampert — Owner · (318) 828-2210 |
| NPI enumerated | February 13, 2012 |
| Last updated in NPPES | June 28, 2019 |
| Mailing address | 1919 Fairfield Ave, Shreveport, LA 71101 |
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Dr. Bruce J Pistorius, MD
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Amanda Bradshaw Raney, MD
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