Organization
WK ADVANCED UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR VP OF FINANCE)
(318) 212-7335
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR STE 460, BOSSIER CITY, LA 71111-2166
(318) 212-7335
(318) 212-7336
Mailing address
2300 HOSPITAL DR STE 460, BOSSIER CITY, LA 71111-2166
(318) 212-7335
(318) 212-7336
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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