Jack Berg MD & Willis-Knighton Medical Center
Jack Berg MD & Willis-Knighton Medical Center provides Family Medicine Physician services in Shreveport, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
7813 Youree DrShreveport, LA 71105-5505
Phone: (318) 212-3830
Fax: (318) 212-3835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1396785150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Gavin — Network Administrator · (318) 212-8780 |
| NPI enumerated | June 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 7813 Youree Dr, Shreveport, LA 71105-5505 |
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