Wk North Orthopedic Clinic
NPI #1306823596 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1306823596
- Entity Type
- Organization
- Organization Name
- Wk North Orthopedic Clinic
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- Dec 28, 2005
- Last Updated
- Jun 8, 2012
Practice Location
- Address
- 2751 ALBERT L BICKNELL DR
- Address 2
- SUITE 1-B
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-3920
- Phone
- (318) 212-8776
Authorized Official
- Name
- GREG J GAVIN
- Title
- NETWORK ADMINISTRATOR
- Phone
- (318) 212-4232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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