Organization · NPI-2

A Michael Aura MD And Willis-Knighton Medical Center

Internal Medicine · Shreveport, LA

NPI number1689619116
StatusActive
Last updated in NPPESNov 15, 2007

Details

NPI
1689619116
Entity type
Organization (NPI-2)
Legal business name
A Michael Aura MD And Willis-Knighton Medical Center
Organization subpart
No
Enumeration date
Jun 18, 2006
Last updated
Nov 15, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

8001 Youree Dr
Suite 550
Shreveport, LA 71115-2302

Phone 318-212-3740 · Fax 318-212-3745

Mailing address

Po Box 3038
Shreveport, LA 71133-3038

Phone 318-212-8340 · Fax 318-212-4025

Authorized official

Greg J Gavin
Network Administrator
3182123740

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