person
Dr. Brandon Gage Blackledge, DO
Student in an Organized Health Care Education/Training Program in Shreveport, Louisiana
NPI 1376162065

Brandon Gage Blackledge is a Student in an Organized Health Care Education/Training Program based in Shreveport, LA. Brandon Gage Blackledge practices in Shreveport, LA and has the professional credentials of DO. The NPI Number for Brandon Gage Blackledge is 1376162065 and holds a License No. (Louisiana).

The current practice location address for Brandon Gage Blackledge is 2600 Greenwood Rd, Shreveport, LA and can be reached out via phone at 601-953-7160.

Location: 2600 Greenwood Rd, Shreveport, LA, 71103-3908
person
Provider Profile Details
NPI Number
1376162065
Provider Name
Brandon Gage Blackledge
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2600 Greenwood Rd, Shreveport, LA, 71103-3908
Phone Number
601-953-7160
Fax Number
Provider Enumeration Date
04/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 Greenwood Rd
City
State
Zip
71103-3908
Phone Number
601-953-7160
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Greenwood Rd
City
State
Zip
71103-3908
Phone Number
601-953-7160
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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