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Organization

WK BOSSIER HYPERBARIC AND WOUND CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG J GAVIN (ADMINISTRATOR)
(318) 212-8780
Entity
Organization

Contact information

Practice address
2300 HOSPITAL DR, SUITE 130, BOSSIER CITY, LA 71111-2394
(318) 212-7080
(318) 212-7082
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-7080
(318) 212-4153

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/02/2013
Last updated
11/04/2013
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