Organization
WK ADVANCED LAPAROSCOPIC AND ROBOTIC SURGERY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED BEVILLE (VP PHYSICIAN NETWORK)
(318) 716-4891
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD STE 310, SHREVEPORT, LA 71103-3989
(318) 212-6070
(318) 212-6075
Mailing address
2551 GREENWOOD RD STE 310, SHREVEPORT, LA 71103-3989
(318) 212-6070
(318) 212-6075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
03/13/2025
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