Clifton Vaughan MD and Willis-Knighton Medical Center

NPI #1255362497 in Shreveport, Louisiana

Provider Information

NPI Number: 1255362497
Entity Type: Organization
Organization Name: Clifton Vaughan MD and Willis-Knighton Medical Center
Primary Specialty: Pediatrics
Enumeration Date: Jul 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7847 YOUREE DR
City: Shreveport
State: Louisiana
ZIP Code: 71105-5505
Phone: (318) 212-3930

Authorized Official

Name: GREG J GAVIN
Title: NETWORK ADMINISTRATOR
Phone: (318) 212-3930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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