Wk Shreveport Internal Medicine
NPI #1255018388 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1255018388
- Entity Type
- Organization
- Organization Name
- Wk Shreveport Internal Medicine
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 30, 2023
- Last Updated
- Jun 30, 2023
Practice Location
- Address
- 1449 E BERT KOUNS INDUSTRIAL LOOP STE 100
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5680
- Phone
- (318) 629-0220
Authorized Official
- Name
- MARY JANE WARD
- Title
- SENIOR VP FINANCE
- Phone
- (318) 716-4939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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