Organization
WK PIERREMONT NEUROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE WARD (SENIOR VP FINANCE)
(318) 716-4891
Entity
Organization
Contact information
Practice address
1811 E BERT KOUN LOOP STE 200, SHREVEPORT, LA 71105-5766
(318) 212-2720
Mailing address
1811 E BERT KOUNS INDUSTRIAL LOOP STE 200, SHREVEPORT, LA 71105-5766
(318) 212-2720
(218) 212-2718
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
03/26/2025
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