Organization
WK VASCULAR SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR VP OF FINANCE)
(318) 716-4939
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD STE 230, SHREVEPORT, LA 71103-3985
(318) 212-8177
(318) 212-8179
Mailing address
2551 GREENWOOD RD STE 230, SHREVEPORT, LA 71103-3985
(318) 212-8177
(318) 212-8179
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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