Tom Rodsuwan Md And Willis Knighton Medical Center

NPI 1093757395 - Family Medicine - 207Q00000X

NPI Details
NPI 1093757395
Enumeration Date 06/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 212-7830
Fax (318) 212-7835
Practice Location
2300 HOSPITAL DR
SUITE 200
BOSSIER CITY LA, 71111-2394, US
Phone (318) 212-7830
Fax (318) 212-7835
Business Location
2300 HOSPITAL DR
SUITE 200
BOSSIER CITY LA, 71111-2394, US
Phone (318) 212-7830
Fax (318) 212-7835
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Tom Rodsuwan Md And Willis Knighton Medical Center NPI is 1093757395, taxonomy code is 207Q00000X Tom Rodsuwan Md And Willis Knighton Medical Center physically located at 2300 Hospital Dr, Bossier City LA, 71111-2394. NPI Number 1033115704 has the healthcare provider type.

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1093757395 NPI number is provided on an as is basis without warranty of any kind. 1093757395 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Rodsuwan Md And Willis Knighton Medical Center are for informational purposes only.