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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN M WOLFORT, MD

Active

DR. RYAN M WOLFORT, MD is a General Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1578622619 is currently active in the NPPES registry. Verify at CMS.

General Surgery · SHREVEPORT, LA

Registration Details

NPI Number
1578622619
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2006 (19.684601200134 yrs)
Last Updated
May 21, 2021
Licenses
200078 (LA)
200078 (LA)

Practice Information

Address
1501 KINGS HWY
SHREVEPORT, LA, 71130
Browse LA providers · Browse ZIP 71130
Phone
3186756111
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in SHREVEPORT, LA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.