WK SIGNATURE UROLOGY CLINIC is an urology in Shreveport, LA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WK SIGNATURE UROLOGY CLINIC NPI is 1225093610. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2551 GREENWOOD RD
SUITE 140
SHREVEPORT, LA
ZIP 71103-981
Phone: (318) 212-8899
Fax: (318) 212-8806
The provider's authorized official is Greg J. Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-4571.
The CLIA number assigned to this NPI record is 19D1053522 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/19/2006 and was last updated on 6/8/2012.