Organization
WK BOSSIER ENT & ALLERGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE WARD (AUTHORIZED OFFICIAL)
(318) 212-8299
Entity
Organization
Contact information
Practice address
2449 HOSPITAL DR STE 440, BOSSIER CITY, LA 71111-1918
(318) 212-7288
(318) 212-7295
Mailing address
2449 HOSPITAL DR STE 440, BOSSIER CITY, LA 71111-1918
(318) 212-7288
(318) 212-7295
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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