Wk North Dermatology Clinic

NPI 1588806970 - Dermatology - 207N00000X

NPI Details
NPI 1588806970
Enumeration Date 03/31/2009
Last Updated 08/14/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 221-2623
Fax (318) 424-9850
Practice Location
2751 ALBERT L BICKNELL DR
SUITE 2-D
SHREVEPORT LA, 71103-3920, US
Phone (318) 221-2623
Fax (318) 424-9850
Business Location
1202 LOUISIANA AVE
SHREVEPORT LA, 71101-3910, US
Phone (318) 221-2623
Fax (318) 424-9850
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Wk North Dermatology Clinic NPI is 1588806970, taxonomy code is 207N00000X Wk North Dermatology Clinic physically located at 2751 Albert L Bicknell Dr, Shreveport LA, 71103-3920. NPI Number 1033115704 has the healthcare provider type.

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1588806970 NPI number is provided on an as is basis without warranty of any kind. 1588806970 is maintained by the National Plan & Provider Enumeration System. The contents of Wk North Dermatology Clinic are for informational purposes only.