WK PORTICO PEDIATRICS

SHREVEPORT, LA
NPI1083940191
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2009-10-23
Last Update Date2009-10-23
Business Address
WK PORTICO PEDIATRICS
7847 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3930
Mailing Address
WK PORTICO PEDIATRICS
7847 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3930
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