Organization
WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD STE 311, SHREVEPORT, LA 71103-3981
(318) 212-6270
(318) 212-6074
Mailing address
2551 GREENWOOD RD STE 311, SHREVEPORT, LA 71103-3981
(318) 212-6270
(318) 212-6074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
05/05/2022
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