Organization
WK UROLOGIC ONCOLOGY PIERREMONT
Active
Other names
WK Urologic Oncology Pierremont
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR VP FINANCE)
(318) 716-4891
Entity
Organization
Contact information
Practice address
8001 YOUREE DR STE 800, SHREVEPORT, LA 71115-2353
(318) 212-2729
(318) 212-2760
Mailing address
8001 YOUREE DR STE 800, SHREVEPORT, LA 71115-2353
(318) 212-2729
(318) 212-2760
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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