KEN STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER

SHREVEPORT, LA
NPI1770515553
Entity TypeOrganization
Authorized ContactGREG J GAVIN
Network Administrator
318-212-8780
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-07-06
Last Update Date2020-08-22
Business Address
KEN STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER
2551 GREENWOOD RD SUITE 310
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8780
Mailing Address
KEN STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER
2551 GREENWOOD RD SUITE 310
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8780
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