NPI 1003865809

Raymond A. Coghlan MD and Willis-Knighton Medical Center

Organisation Infectious Disease Physician Shreveport, LA

Practice location

Address: 2551 Greenwood Rd Suite 150, Shreveport, LA 71103-3981
Phone: (318) 631-9996
Fax: (318) 631-9345
Mailing address: 1202 Louisiana Ave, Shreveport, LA 71101-3910

Authorised official

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

Registered specialties

Infectious Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RI0200X

Other Internal Medicine providers in Louisiana →

Registry record

NPI: 1003865809
Entity type: Organization
NPI issued: 9 May 2006
Record last updated: 28 Jul 2009

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.