Organization
WK ADVANCED CARDIAC IMAGING
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 216, SHREVEPORT, LA 71103-3917
(318) 212-8270
(318) 212-8290
Mailing address
2727 HEARNE AVE STE 216, SHREVEPORT, LA 71103-3917
(318) 212-8270
(318) 212-8290
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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