Organization
A MICHAEL AURA MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-3740
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, SUITE 550, SHREVEPORT, LA 71115-2302
(318) 212-3740
(318) 212-3745
Mailing address
PO BOX 3038, SHREVEPORT, LA 71133-3038
(318) 212-8340
(318) 212-4025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
11/15/2007
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