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Organization

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JANE WARD (SENIOR VP FINANCE)
(318) 212-8951
Entity
Organization

Contact information

Practice address
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY, 2530 BERT KOUNS INDUSTRIAL LOOP, STE 113, SHREVEPORT, LA 71118
(318) 212-5811
(318) 212-5844
Mailing address
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY, 2530 BERT KOUNS INDUSTRIAL LOOP, STE 113, SHREVEPORT, LA 71118
(318) 212-5811
(318) 212-5844

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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