Organization
ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STEWART BUNDRICK JR. M.D. (OWNER)
(318) 841-4004
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 400, BOSSIER CITY, LA 71111-2394
(318) 841-4004
Mailing address
2300 HOSPITAL DR, SUITE 400, BOSSIER CITY, LA 71111-2394
(318) 841-4004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
020454
LA
Other
Enumeration date
02/12/2007
Last updated
09/03/2008
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