WK NORTH DERMATOLOGY CLINIC

SHREVEPORT, LA
NPI1588806970
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2009-03-31
Last Update Date2013-08-14
Business Address
WK NORTH DERMATOLOGY CLINIC
2751 ALBERT L BICKNELL DR SUITE 2-D
SHREVEPORT, LA 71103-3920
Phone number: 318-221-2623
Mailing Address
WK NORTH DERMATOLOGY CLINIC
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-221-2623
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