Search › Louisiana › 163WM0705X
Victor Manning
NPI 1992953343 · on the registry since 2008
Practice
- Address
- 9414 Ashmont St
Shreveport, LA 71129 - Phone
- (318) 683-0119
- Organisation at this address
- Va Diabetic Foot Source Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WM0705X
163WM0705X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana