Organization
WK NEUROVASCULAR NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR. VP OF FINANCE)
(318) 716-4939
Entity
Organization
Contact information
Practice address
2727 HEARNE AVE STE 320, SHREVEPORT, LA 71103-3917
(318) 212-6797
(318) 212-6822
Mailing address
2727 HEARNE AVE STE 320, SHREVEPORT, LA 71103-3917
(318) 212-6797
(318) 212-6822
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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