Wk Pediatric Eye Specialists

NPI 1548408628 - General Practice - 208D00000X

NPI Details
NPI 1548408628
Enumeration Date 01/28/2009
Last Updated 06/11/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 212-8946
Fax (318) 212-4153
Practice Location
1202 LOUISIANA AVE
SHREVEPORT LA, 71101-3910, US
Phone (318) 212-8946
Fax (318) 212-4153
Business Location
1202 LOUISIANA AVE
SHREVEPORT LA, 71101-3910, US
Phone (318) 212-8946
Fax (318) 212-4153
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
Remove 1548408628 NPI Number
 

According to our database, Wk Pediatric Eye Specialists NPI is 1548408628, taxonomy code is 208D00000X Wk Pediatric Eye Specialists physically located at 1202 Louisiana Ave, Shreveport LA, 71101-3910. NPI Number 1033115704 has the healthcare provider type.

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1548408628 NPI number is provided on an as is basis without warranty of any kind. 1548408628 is maintained by the National Plan & Provider Enumeration System. The contents of Wk Pediatric Eye Specialists are for informational purposes only.