WK SHREVEPORT SLEEP MEDICINE

SHREVEPORT, LA
NPI1992236152
Entity TypeOrganization
Authorized ContactGREG J GAVIN
Network Administrator
318-212-8780
Organization Subpart ?No
Primary Taxonomy207QS1201X Family Medicine, Sleep Medicine
Enumeration Date2017-03-21
Last Update Date2017-03-21
Business Address
WK SHREVEPORT SLEEP MEDICINE
1666 E BERT KOUN LOOP SUITE 230
SHREVEPORT, LA 71105-5714
Phone number: 318-212-8780
Mailing Address
WK SHREVEPORT SLEEP MEDICINE
1666 E BERT KOUN LOOP SUITE 230
SHREVEPORT, LA 71105-5714
Phone number: 318-212-8780