Organization
WK MINIMALLY INVASIVE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SENIOR VP FINANCE)
(318) 212-8299
Entity
Organization
Contact information
Practice address
2751 ALBERT L BICKNELL DR STE 3A, SHREVEPORT, LA 71103-3976
(318) 212-8299
Mailing address
2751 ALBERT L BICKNELL DR STE 3A, SHREVEPORT, LA 71103-3976
(318) 212-8299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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