Willis-Knighton Medical Center & Johnston Johnny MD
Willis-Knighton Medical Center & Johnston Johnny MD provides Pediatrics Physician services in Shreveport, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2518 Bert Kouns LoopShreveport, LA 71118-3112
Phone: (318) 212-5437
Fax: (318) 212-5825
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1700812187 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Gavin — Network Administrator · (318) 212-5437 |
| NPI enumerated | June 25, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2518 Bert Kouns Loop, Shreveport, LA 71118-3112 |
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