OrganizationActive
Wk North Orthopedic Clinic
NPI 1306823596 · Sports Medicine (Orthopaedic Surgery) Physician · Shreveport, LA
Provider details
- NPI number
- 1306823596
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Greg Gavin, Network Administrator
Practice location
2751 Albert L Bicknell Dr
Suite 1-B
Shreveport, LA 71103-3920
Phone: (318) 212-8776
Fax: (318) 212-8774
Mailing address
1202 Louisiana Ave
Shreveport, LA 71101-3910
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2012-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.