BRAD COLVIN MD AND WILLIS-KNIGHTON MEDICAL CENTER

SHREVEPORT, LA
NPI1346219789
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-5343
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
Enumeration Date2006-03-17
Last Update Date2007-11-21
Business Address
BRAD COLVIN MD AND WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 207
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5360
Mailing Address
BRAD COLVIN MD AND WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 207
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5360
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