WILLIS-KNIGHTON MEDICAL CENTER MARK RICHARD MAINOUS

BOSSIER CITY, LA
NPI1720014145
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-7810
Organization Subpart ?No
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
Enumeration Date2006-06-25
Last Update Date2022-07-21
Business Address
WILLIS-KNIGHTON MEDICAL CENTER MARK RICHARD MAINOUS
2400 HOSPITAL DR SUITE 310
BOSSIER CITY, LA 71111-2385
Phone number: 318-212-7810
Mailing Address
WILLIS-KNIGHTON MEDICAL CENTER MARK RICHARD MAINOUS
2400 HOSPITAL DR SUITE 310
BOSSIER CITY, LA 71111-2385
Phone number: 318-212-7810
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