Organization
WK URGENT CARE CENTER - BOSSIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-7520
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 180, BOSSIER CITY, LA 71111-2394
(318) 212-7520
(318) 212-7523
Mailing address
2300 HOSPITAL DR, SUITE 180, BOSSIER CITY, LA 71111-2394
(318) 212-7520
(318) 212-7523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441317
—
LA
Enumeration date
06/21/2006
Last updated
06/08/2012
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