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1508894106
BRUCE PISTORIUS MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1508894106
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-3936
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-06-30
Last Update Date
2020-08-22
Business Address
BRUCE PISTORIUS MD AND WILLIS-KNIGHTON MEDICAL CENTER
7847 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3930
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Mailing Address
BRUCE PISTORIUS MD AND WILLIS-KNIGHTON MEDICAL CENTER
7847 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3930
Copy
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