Organization
WK NEUROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2400 HOSPITAL DR, SUITE 310, BOSSIER CITY, LA 71111-2385
(318) 741-2900
(318) 741-2999
Mailing address
2400 HOSPITAL DR, SUITE 310, BOSSIER CITY, LA 71111-2385
(318) 741-2900
(318) 741-2999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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