| NPI Details | |
|---|---|
| NPI | 1457320897 |
| Enumeration Date | 03/17/2006 |
| Last Updated | 12/13/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | GREG J. GREG |
| Position | NETWORK ADMINISTRATOR |
| Phone | (318) 212-5343 |
| Fax | (318) 212-5360 |
| Practice Location | |
|---|---|
| 2508 BERT KOUNS LOOP SUITE 207 SHREVEPORT LA, 71118-3133, US |
|
| Phone | (318) 212-5343 |
| Fax | (318) 212-5360 |
| Business Location | |
|---|---|
| 2508 BERT KOUNS LOOP SUITE 207 SHREVEPORT LA, 71118-3133, US |
|
| Phone | (318) 212-5343 |
| Fax | (318) 212-5360 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207V00000X |
| License State | Louisiana |
| License Number | 011602 |
| Remove 1457320897 NPI Number | |
According to our database, Gaylon Daigle Md And Willis-knighton Medical Center NPI is 1457320897, taxonomy code is 207V00000X and license number is 011602, license state is located at Louisiana. Gaylon Daigle 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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1457320897 NPI number is provided on an as is basis without warranty of any kind. 1457320897 is maintained by the National Plan & Provider Enumeration System. The contents of Gaylon Daigle Md And Willis-knighton Medical Center are for informational purposes only.
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