Organization
WK ELITE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR. VP OF FINANCE)
(318) 716-4937
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD STE 220, SHREVEPORT, LA 71103-3985
(318) 635-9855
Mailing address
2551 GREENWOOD RD STE 220, SHREVEPORT, LA 71103-3985
(318) 635-9855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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