Willis-Knighton Medical Center Mark Richard Mainous
Willis-Knighton Medical Center Mark Richard Mainous is a Surgical Critical Care Physician in Bossier City, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2400 Hospital Dr Ste 310Bossier City, LA 71111-2385
Phone: (318) 212-7810
Fax: (318) 212-7815
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Specialties & licences
| Surgical Critical Care Physician (primary) | Taxonomy 2086S0102X |
|---|
Record details
| NPI number | 1720014145 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Gavin — Network Administrator · (318) 212-7810 |
| NPI enumerated | June 25, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 2400 Hospital Dr, Suite 310, Bossier City, LA 71111-2385 |