Organization
WK UROLOGY AT PIERREMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4235
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, SUITE 550, SHREVEPORT, LA 71115-2302
(318) 212-2840
(318) 212-2848
Mailing address
8001 YOUREE DR, SUITE 550, SHREVEPORT, LA 71115-2302
(318) 212-2840
(318) 212-2848
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
01/06/2016
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