WK NORTH SHREVEPORT FAMILY MEDICINE

SHREVEPORT, LA
NPI1811932197
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-222-5270
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-06-19
Last Update Date2012-06-08
Business Address
WK NORTH SHREVEPORT FAMILY MEDICINE
3312 N MARKET ST
SHREVEPORT, LA 71107-4009
Phone number: 318-222-5270
Mailing Address
WK NORTH SHREVEPORT FAMILY MEDICINE
3312 N MARKET ST
SHREVEPORT, LA 71107-4009
Phone number: 318-222-5270
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