Wk Dermatology Clinic

NPI 1538372883 - Dermatology - 207N00000X

NPI Details
NPI 1538372883
Enumeration Date 05/07/2007
Last Updated 06/08/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 212-7800
Fax
Practice Location
2300 HOSPITAL DR
SUITE 400
BOSSIER CITY LA, 71111-2394, US
Phone (318) 212-7800
Fax
Business Location
2300 HOSPITAL DR
SUITE 400
BOSSIER CITY LA, 71111-2394, US
Phone (318) 212-7800
Fax
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Wk Dermatology Clinic NPI is 1538372883, taxonomy code is 207N00000X Wk Dermatology Clinic physically located at 2300 Hospital Dr, Bossier City LA, 71111-2394. NPI Number 1033115704 has the healthcare provider type.

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1538372883 NPI number is provided on an as is basis without warranty of any kind. 1538372883 is maintained by the National Plan & Provider Enumeration System. The contents of Wk Dermatology Clinic are for informational purposes only.