Organization Name: | GAYLON DAIGLE MD AND WILLIS-KNIGHTON MEDICAL CENTER |
NPI Number: | 1457320897 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG J. GAVIN (NETWORK ADMINISTRATOR) |
Mailing Address: | 2508 Bert Kouns Loop Suite 207 Shreveport |
State: | LA US |
Postal Code: | 711183133 |
Phone Number: | 3182125343 |
Fax Number: | 3182125360 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 011602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |