NPI | 1568498608 |
---|---|
Doing Business As | JEFFERY FOSS MD AND WILLIS-KNIGHTON MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | GREG J. GAVIN Network Administrator 318-212-4232 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-06-23 |
Last Update Date | 2011-12-13 |