Willis Knighton Medical Center & M R Manchandia

NPI #1992731301 in Bossier City, Louisiana

Provider Information

NPI Number: 1992731301
Entity Type: Organization
Organization Name: Willis Knighton Medical Center & M R Manchandia
Primary Specialty: Pediatrics
Enumeration Date: Jun 25, 2006
Last Updated: Jun 12, 2012

Practice Location

Address: 2706 SHED RD
City: Bossier City
State: Louisiana
ZIP Code: 71111-3348
Phone: (318) 747-5272

Authorized Official

Name: GREG J GAVIN
Title: NETWORK ADMINISTRATOR
Phone: (318) 747-5272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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