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NPI Code Detail

MEDICARE: PAMELA R H GUOTH M.D.

MEDICARE: PAMELA R H GUOTH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD.07530RLA
2207P00000XEmergency Medicine PhysicianMD.07530RLA

General Provider Information

NPI Number : 1932150984
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA R H GUOTH M.D.
Provider Business Mailing Address
First Line : 1512 W KIRBY PL
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-3822
Country : US
Telephone Number : 318-626-0287
Fax Number :
Provider Business Practice Location Address
First Line : 4864 JACKSON ST
Second Line :
City : MONROE
State : LA
Zip : 71202-6400
Country : US
Telephone Number : 318-337-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 06/20/2023

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Directions to “ PAMELA R H GUOTH M.D.” Practice Location

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