Organization
WK CENTER FOR ENDOCRINOLOGY AND DIABETES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD, SUITE 411, SHREVEPORT, LA 71103-3981
(318) 212-8627
(318) 212-8632
Mailing address
2551 GREENWOOD RD STE 130, SHREVEPORT, LA 71103-3984
(318) 212-8627
(318) 212-8632
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
07/20/2022
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