WK PINES ROAD FAMILY MEDICINE

SHREVEPORT, LA
NPI1629210042
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2009-03-31
Last Update Date2012-06-08
Business Address
WK PINES ROAD FAMILY MEDICINE
6821 PINES RD SUITE 100
SHREVEPORT, LA 71129-2547
Phone number: 318-687-5500
Mailing Address
WK PINES ROAD FAMILY MEDICINE
6821 PINES RD SUITE 100
SHREVEPORT, LA 71129-2547
Phone number: 318-687-5500
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