WK VASCULAR SURGICAL ASSOCIATES NPI 1598096240

NPI Information

WK VASCULAR SURGICAL ASSOCIATES is a vascular surgery surgery in Shreveport, LA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WK VASCULAR SURGICAL ASSOCIATES NPI is 1598096240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2751 ALBERT L BICKNELL DR
SUITE 5A
SHREVEPORT, LA
ZIP 71103-920
Phone: (318) 226-0058
Fax: (318) 226-1759

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-4232.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 6/8/2012.

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:

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