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1760428601
SAM F BURKE JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1760428601
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-688-6493
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2006-06-21
Last Update Date
2008-01-16
Business Address
SAM F BURKE JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 304
SHREVEPORT, LA 71118-3133
Phone number: 318-688-6493
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Mailing Address
SAM F BURKE JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 304
SHREVEPORT, LA 71118-3133
Phone number: 318-688-6493
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