WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD

SHREVEPORT, LA
NPI1700812187
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-5437
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-06-25
Last Update Date2020-08-22
Business Address
WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
2518 BERT KOUNS LOOP
SHREVEPORT, LA 71118-3112
Phone number: 318-212-5437
Mailing Address
WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
2518 BERT KOUNS LOOP
SHREVEPORT, LA 71118-3112
Phone number: 318-212-5437