Willis Knighton Medical Center, Inc. Wk Emergency Dept Group

NPI 1669422796 - Emergency Medicine - 207P00000X

NPI Details
NPI 1669422796
Enumeration Date 05/11/2006
Last Updated 01/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JESSE JESSE
Position VP ANCILLARY SERVICES
Phone (318) 212-4500
Fax
Practice Location
2600 GREENWOOD RD
SHREVEPORT LA, 71103-3908, US
Phone (318) 212-4500
Fax
Business Location
2600 GREENWOOD RD
SHREVEPORT LA, 71103-3908, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Louisiana
License Number 232
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According to our database, Willis Knighton Medical Center, Inc. Wk Emergency Dept Group NPI is 1669422796, taxonomy code is 207P00000X and license number is 232, license state is located at Louisiana. Willis Knighton Medical Center, Inc. Wk Emergency Dept Group physically located at 2600 Greenwood Rd, Shreveport LA, 71103-3908. NPI Number 1033115704 has the healthcare provider type.

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1669422796 NPI number is provided on an as is basis without warranty of any kind. 1669422796 is maintained by the National Plan & Provider Enumeration System. The contents of Willis Knighton Medical Center, Inc. Wk Emergency Dept Group are for informational purposes only.