Wk Allergy and Asthma Clinic
NPI #1760939987 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1760939987
- Entity Type
- Organization
- Organization Name
- Wk Allergy and Asthma Clinic
- Primary Specialty
- Allergy & Immunology - Clinical & Laboratory Immunology
- Enumeration Date
- Sep 6, 2016
- Last Updated
- Apr 3, 2019
Practice Location
- Address
- 2300 HOSPITAL DR STE 345
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-2194
- Phone
- (318) 227-7946
Authorized Official
- Name
- GREG J GAVIN
- Title
- MANAGED CARE CREDENTIALING
- Phone
- (318) 212-8951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology - Clinical & Laboratory Immunology — Clinical & Laboratory Immunology |
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