Organization
WK DIGESTIVE DISEASE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2508 BERT KOUN LOOP, SUTIE 304, SHREVEPORT, LA 71118-3133
(318) 671-8880
(318) 671-8879
Mailing address
2508 BERT KOUN LOOP, SUTIE 304, SHREVEPORT, LA 71118-3133
(318) 671-8880
(318) 671-8879
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/18/2015
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