NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780612119 |   |   |   | WK ORTHOPEDIC CLINIC | 7925 YOUREE DR | SHREVEPORT | LA | 711055127 |
1114003076 | GILLUM | SCOTT | R |   | 7925 YOUREE DR | SHREVEPORT | LA | 711055127 |
1285145706 | MONK | GEORGIA | SHIVELY |   | 208 LEO AVE | SHREVEPORT | LA | 711053304 |