Daniel John Moller Jr MD & Willis-Knighton Medical Center

NPI #1336181684 in Shreveport, Louisiana

Provider Information

NPI Number: 1336181684
Entity Type: Organization
Organization Name: Daniel John Moller Jr MD & Willis-Knighton Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: Jun 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8001 YOUREE DR
Address 2: SUITE 400
City: Shreveport
State: Louisiana
ZIP Code: 71115-2302
Phone: (318) 212-3456

Authorized Official

Name: GREG J. GAVIN
Title: NETWORK ADMINISTRATOR
Phone: (318) 212-8780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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