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Organization

WK SPECTRUM NEUROSURGERY-THE BRAIN & SPINE SPECIALIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JANE WARD (SR. VICE PRESIDENT FINANCE)
(318) 716-4939
Entity
Organization

Contact information

Practice address
2751 ALBERT L BICKNELL DR STE 1A, SHREVEPORT, LA 71103-3943
(318) 212-8115
(318) 212-8124
Mailing address
2751 ALBERT L BICKNELL DR STE 1A, SHREVEPORT, LA 71103-3943
(318) 212-8115
(318) 212-8124

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
07/10/2017
Last updated
06/13/2023
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