Search › Louisiana › 207R00000X
Amanda Callegan-Poche', MD
NPI 1265829394 · on the registry since 2015
Practice
- Address
- 1023 Provenance Pl Ste 130
Shreveport, LA 71106 - Phone
- (318) 626-0000
Additional practice sites
- 1501 Kings Hwy, Shreveport, LA
- 8950 E Kings Hwy, Shreveport, LA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208000000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-27
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