WILLIS-KNIGHTON MEDICAL CENTER MICHELLE SELF MD

SHREVEPORT, LA
NPI1598794612
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-3810
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-07-01
Last Update Date2020-08-22
Business Address
WILLIS-KNIGHTON MEDICAL CENTER MICHELLE SELF MD
8001 YOUREE DR SUITE 540
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3810
Mailing Address
WILLIS-KNIGHTON MEDICAL CENTER MICHELLE SELF MD
8001 YOUREE DR SUITE 540
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3810
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