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WK UROLOGY AT PIERREMONT NPI 1164776290


NPI Information

NPI: 1164776290
Provider Name: WK UROLOGY AT PIERREMONT
Classification: Urology - 208800000X
Entity Type: Organization
Address:
8001 YOUREE DR
SUITE 550
SHREVEPORT, LA
ZIP 71115
Phone: (318) 212-2840
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WK UROLOGY AT PIERREMONT is an urology in Shreveport, LA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WK UROLOGY AT PIERREMONT NPI is 1164776290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8001 YOUREE DR
SUITE 550
SHREVEPORT, LA
ZIP 71115-302
Phone: (318) 212-2840
Fax: (318) 212-2848

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-4235.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 1/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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