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Organization

WILLIS KNIGHTON OPHTHALMOLOGY BOSSIER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JANE WARD (SENIOR VICE PRESIDENT OF FINANCE)
(318) 716-4891
Entity
Organization

Contact information

Practice address
2300 HOSPITAL DR STE 350, BOSSIER CITY, LA 71111-2179
(318) 716-4891
Mailing address
2300 HOSPITAL DR STE 350, BOSSIER CITY, LA 71111-2179

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
04/17/2025
Last updated
04/17/2025
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