Wk North Dermatology Clinic
Wk North Dermatology Clinic is a Dermatology Physician in Shreveport, Louisiana. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
2751 Albert L Bicknell Dr Ste 2-DShreveport, LA 71103-3920
Phone: (318) 221-2623
Fax: (318) 424-9850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1588806970 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Gavin — Network Administrator · (318) 212-4232 |
| NPI enumerated | March 31, 2009 |
| Last updated in NPPES | August 14, 2013 |
| Mailing address | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
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