institution
Gregory C Sampognaro Md
Specialist in Monroe, Louisiana
NPI 1235337346

Gregory C Sampognaro Md is a Specialist based in Monroe, LA. Gregory C Sampognaro Md practices in Monroe, LA. The NPI Number for Gregory C Sampognaro Md is 1235337346 and holds a License No. 11645R (Louisiana).

The current practice location address for Gregory C Sampognaro Md is 2503 Broadmoor Blvd, Monroe, LA and can be reached out via phone at 318-322-7726 and via fax at 318-322-2614. You can also correspond with Gregory C Sampognaro Md through the mailing address at 2503 BROADMOOR BLVD, MONROE, LA - 71201-2987 (mailing address contact number: 318-322-7726).

Location: 2503 Broadmoor Blvd, Monroe, LA, 71201-2987
institution
Provider Profile Details
NPI Number
1235337346
Provider Name
Gregory C Sampognaro Md
Credential
Provider Entity Type
Organization
Address
2503 Broadmoor Blvd, Monroe, LA, 71201-2987
Phone Number
318-322-7726
Fax Number
318-322-2614
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4388289030 01 LA BLUE CROSS BLUE SHIELD
060061109 05 LA
060061109 01 LA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2503 Broadmoor Blvd
City
State
Zip
71201-2987
Phone Number
318-322-7726
Fax Number
318-322-2614
person
Provider Business Mailing Address Details
Address
2503 Broadmoor Blvd
City
State
Zip
71201-2987
Phone Number
318-322-7726
Fax Number
318-322-2614
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
11645R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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