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Organization

WILLIS KNIGHTON HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN SACKER (HEAD OF CRNA)
(318) 212-4072
Entity
Organization

Contact information

Practice address
8001 YOUREE DR, SHREVEPORT, LA 71115-2302
(318) 212-3220
Mailing address
1024 CRESSMONT ST, BOSSIER CITY, LA 71111-5759
(318) 741-1659

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AP05106
LA

Other

Enumeration date
03/21/2007
Last updated
08/22/2020
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