Gpn-Leesville, LLC

NPI #1043717515 in Leesville, Louisiana

Provider Information

NPI Number: 1043717515
Entity Type: Organization
Organization Name: Gpn-Leesville, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 10, 2018
Last Updated: Apr 10, 2018

Practice Location

Address: 1020 W FERTITTA BLVD
City: Leesville
State: Louisiana
ZIP Code: 71446-4645
Phone: (337) 239-9041

Authorized Official

Name: CHRIS BEDDOE
Title: CEO
Phone: (337) 936-8920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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