Organization
WK ACADEMIC MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW WHEELER (REVENUE CONTRACT MANAGER)
(318) 716-4939
Entity
Organization
Contact information
Practice address
2751 ALBERT L BICKNELL DR STE 2D, SHREVEPORT, LA 71103-3939
(318) 212-4232
(318) 212-4257
Mailing address
2751 ALBERT L BICKNELL DR STE 2D, SHREVEPORT, LA 71103-3939
(318) 212-4232
(318) 212-4257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
02/28/2022
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