# GAYLON DAIGLE MD AND WILLIS-KNIGHTON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457320897
- **Authorized official:** GREG J. GAVIN (NETWORK ADMINISTRATOR)
- **Authorized official phone:** (318) 212-5343

## Contact information

- **Practice address:** 2508 BERT KOUNS LOOP, SUITE 207, SHREVEPORT, LA 71118-3133
- **Practice address phone:** (318) 212-5343
- **Practice address fax:** (318) 212-5360
- **Mailing address:** 2508 BERT KOUNS LOOP, SUITE 207, SHREVEPORT, LA 71118-3133
- **Mailing address phone:** (318) 212-5343
- **Mailing address fax:** (318) 212-5360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 011602 | LA | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 12/13/2007