Organization
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
Active
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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