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Organization

WK ADVANCED SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARY JANE WARD (SR VP OF FINANCE)
(318) 716-4939
Entity
Organization

Contact information

Practice address
2751 ALBERT L BICKNELL DR, SUITE 2-B, SHREVEPORT, LA 71103-3920
(318) 212-8350
(318) 212-8356
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 2-B, SHREVEPORT, LA 71103-3920
(318) 212-8350
(318) 212-8356

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
11/15/2012
Last updated
07/21/2021
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