NPI 1114367976

Wk North Laparoscopic Surgical Associates

Organisation Surgery Physician Shreveport, LA

Practice location

Address: 2751 Albert L Bicknell Dr Suite 3d, Shreveport, LA 71103-3920
Phone: (318) 221-4755
Fax: (318) 424-3642

Authorised official

Name: Greg J Gavin
Title: Network Administrator
Phone: (318) 212-4232

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Louisiana →

Registry record

NPI: 1114367976
Entity type: Organization
NPI issued: 26 Jun 2013
Record last updated: 28 Jun 2013

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.