NPI 1033987151

Willow Chute Medical, LLC

Organisation Family Medicine Physician Bossier City, LA

Practice location

Address: 4910 Airline Dr, Bossier City, LA 71111-6607
Phone: (318) 349-3921
Mailing address: 732 Smokehouse Loop, Benton, LA 71006-8000

Authorised official

Name: Clint N. Wilson
Title: Owner
Phone: (318) 349-3921

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Louisiana →

Registry record

NPI: 1033987151
Entity type: Organization
NPI issued: 18 Dec 2023
Record last updated: 20 Dec 2023

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.