NPI 1174546097

Willis Knighton Medical Center INC. Crna Group

Organisation Anesthesiology Physician Shreveport, LA

Practice location

Address: 2600 Greenwood Rd, Shreveport, LA 71103-3908
Phone: (318) 212-4877

Authorised official

Name: Stacy H Alexander
Title: Controller
Phone: (318) 212-4877

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Louisiana →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Louisiana →

Registry record

NPI: 1174546097
Entity type: Organization
NPI issued: 25 Jul 2006
Record last updated: 8 Nov 2012

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.