Brad Colvin Md And Willis-knighton Medical Center

NPI 1346219789 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1346219789
Enumeration Date 03/17/2006
Last Updated 11/21/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 212-5360
Fax (318) 212-5360
Practice Location
2508 BERT KOUNS LOOP
SUITE 207
SHREVEPORT LA, 71118-3133, US
Phone (318) 212-5360
Fax (318) 212-5360
Business Location
2508 BERT KOUNS LOOP
SUITE 207
SHREVEPORT LA, 71118-3133, US
Phone (318) 212-5360
Fax (318) 212-5360
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
Remove 1346219789 NPI Number
 

According to our database, Brad Colvin Md And Willis-knighton Medical Center NPI is 1346219789, taxonomy code is 207V00000X Brad Colvin Md And Willis-knighton Medical Center physically located at 2508 Bert Kouns Loop, Shreveport LA, 71118-3133. NPI Number 1033115704 has the healthcare provider type.

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1346219789 NPI number is provided on an as is basis without warranty of any kind. 1346219789 is maintained by the National Plan & Provider Enumeration System. The contents of Brad Colvin Md And Willis-knighton Medical Center are for informational purposes only.