Organization
WK DERMATOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SENIOR VP FINANCE)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 400, BOSSIER CITY, LA 71111-2394
(318) 212-7800
(318) 212-7805
Mailing address
WK BOSSIER MEDICAL OFFICE BLDG 2, 2300 HOSPITAL DR, SUITE 400, BOSSIER CITY, LA 71111-2394
(318) 212-7800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
02/26/2019
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