WK PEDIATRIC INTENSIVIST

SHREVEPORT, LA
NPI1023074549
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-3868
Organization Subpart ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
Enumeration Date2006-04-24
Last Update Date2018-05-09
Business Address
WK PEDIATRIC INTENSIVIST
2510 BERT KOUN LOOP RM 4003
SHREVEPORT, LA 71118-3119
Phone number: 318-212-5665
Mailing Address
WK PEDIATRIC INTENSIVIST
2510 BERT KOUN LOOP RM 4003
SHREVEPORT, LA 71118-3119
Phone number: 318-212-5665
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