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1700812187
WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
SHREVEPORT, LA
NPI
1700812187
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-5437
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-06-25
Last Update Date
2020-08-22
Business Address
WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
2518 BERT KOUNS LOOP
SHREVEPORT, LA 71118-3112
Phone number: 318-212-5437
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Mailing Address
WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
2518 BERT KOUNS LOOP
SHREVEPORT, LA 71118-3112
Phone number: 318-212-5437
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