| NPI | 1437441698 |
|---|---|
| Doing Business As | WK REGIONAL ORTHOPEDIC AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GREG J. GAVIN Network Administrator 318-212-8780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-12-21 |