WK TRI-STATE MEDICAL CLINIC

SHREVEPORT, LA
NPI1225082746
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-4571
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-05-20
Last Update Date2012-10-05
Business Address
WK TRI-STATE MEDICAL CLINIC
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
Mailing Address
WK TRI-STATE MEDICAL CLINIC
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
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