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1760043491
WK PREFERRED PEDIATRICS
BOSSIER CITY, LA
NPI
1760043491
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Entity Type
Organization
Authorized Contact
MATTHEW WHEELER
Revenue Contract Manager
318-212-8299
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
WK PREFERRED PEDIATRICS
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111-2193
Phone number: 318-212-7982
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Mailing Address
WK PREFERRED PEDIATRICS
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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