Wk Center for Ear Nose and Throat Disorders
NPI #1104195486 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1104195486
- Entity Type
- Organization
- Organization Name
- Wk Center for Ear Nose and Throat Disorders
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Dec 15, 2011
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 2300 HOSPITAL DR
- Address 2
- SUITE 460
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-2394
- Phone
- (318) 212-7953
Authorized Official
- Name
- GREG J GAVIN
- Title
- NETWORK ADMINISTRATOR
- Phone
- (318) 212-4232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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