Individual
WINSTON KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBBS
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SHREVEPORT, LA 71103-4228
(318) 675-6076
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-3932
(318) 675-4881
(318) 675-5069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204819
LA
Other
Enumeration date
05/31/2006
Last updated
07/29/2016
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