Organization
WK SPINE & PAIN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG J GAVIN (ADMINISTRATOR)
(318) 212-8951
Entity
Organization
Contact information
Practice address
2449 HOSPITAL DR, SUITE 300, BOSSIER CITY, LA 71111-2399
(318) 212-7960
(318) 212-7965
Mailing address
2449 HOSPITAL DR, SUITE 300, BOSSIER CITY, LA 71111-2399
(318) 212-7960
(318) 212-7965
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD.199995
LA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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