NPI 1003825472

Andrew Dentino MD and Willis-Knighton Medical Center

Organisation Internal Medicine Physician Shreveport, LA

Practice location

Address: 2551 Greenwood Rd Suite 310, Shreveport, LA 71103-3981
Phone: (318) 212-8780
Fax: (318) 212-8181

Authorised official

Name: Greg J. Gavin
Title: Network Administrator
Phone: (318) 212-4571

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Louisiana →

Registry record

NPI: 1003825472
Entity type: Organization
NPI issued: 5 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.