| NPI Details | |
|---|---|
| NPI | 1093757395 |
| Enumeration Date | 06/12/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 | |
| Remove 1093757395 NPI Number | |
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.
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