NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1467483636 |   |   |   | G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1003116682 | BONTS | KIMBERLY | J |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1003809211 | PENALES | LEA | BONIFACIO |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1285666487 | WHITTON | GERALD | BRENT |   | PO BOX 3038 | SHREVEPORT | LA | 711333038 |