Wk Portico Pediatrics

NPI 1083940191 - Pediatrics - 208000000X

NPI Details
NPI 1083940191
Enumeration Date 10/23/2009
Last Updated 10/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 212-3930
Fax (318) 212-3935
Practice Location
7847 YOUREE DR
SHREVEPORT LA, 71105-5505, US
Phone (318) 212-3930
Fax (318) 212-3935
Business Location
7847 YOUREE DR
SHREVEPORT LA, 71105-5505, US
Phone (318) 212-3930
Fax (318) 212-3935
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1083940191 NPI Number
 

According to our database, Wk Portico Pediatrics NPI is 1083940191, taxonomy code is 208000000X Wk Portico Pediatrics physically located at 7847 Youree Dr, Shreveport LA, 71105-5505. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083940191 NPI number is provided on an as is basis without warranty of any kind. 1083940191 is maintained by the National Plan & Provider Enumeration System. The contents of Wk Portico Pediatrics are for informational purposes only.