Wkn Tristate Neurology Clinic

NPI 1528406915 - Neurological Surgery - 207T00000X

NPI Details
NPI 1528406915
Enumeration Date 06/07/2013
Last Updated 06/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GREG J. GREG
Position NETWORK ADMINISTRATOR
Phone (318) 212-8675
Fax (318) 212-8680
Practice Location
2551 GREENWOOD RD
SUITE 240
SHREVEPORT LA, 71103-3981, US
Phone (318) 212-8675
Fax (318) 212-8680
Business Location
2551 GREENWOOD RD
SUITE 240
SHREVEPORT LA, 71103-3981, US
Phone (318) 212-8675
Fax (318) 212-8680
Toxanomy
Taxonomy Code 207T00000X
License State
License Number
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According to our database, Wkn Tristate Neurology Clinic NPI is 1528406915, taxonomy code is 207T00000X Wkn Tristate Neurology Clinic physically located at 2551 Greenwood Rd, Shreveport LA, 71103-3981. NPI Number 1033115704 has the healthcare provider type.

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1528406915 NPI number is provided on an as is basis without warranty of any kind. 1528406915 is maintained by the National Plan & Provider Enumeration System. The contents of Wkn Tristate Neurology Clinic are for informational purposes only.