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Dr. Gordon Gregory Gidman, MD
Specialist in Lafayette, Louisiana
NPI 1437286085

Gordon Gregory Gidman is a Specialist based in Lafayette, LA. Gordon Gregory Gidman practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Gordon Gregory Gidman is 1437286085 and holds a License No. 012306 (Louisiana).

The current practice location address for Gordon Gregory Gidman is 204 Energy Pkwy, Lafayette, LA and can be reached out via phone at 337-269-0136 and via fax at 337-233-8525.

Location: 204 Energy Pkwy, Lafayette, LA, 70503-8425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437286085
Provider Name
Gordon Gregory Gidman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
204 Energy Pkwy, Lafayette, LA, 70503-8425
Phone Number
337-269-0136
Fax Number
337-233-8525
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5M407DC78 01 LA GROUP MEMBER PTAN
5DC78 01 LA NEW GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
204 Energy Pkwy
City
Lafayette
State
Louisiana
Zip
70508-3816
Phone Number
337-269-0136
Fax Number
337-233-8525
person
Provider Business Mailing Address Details
Address
204 Energy Pkwy
City
Lafayette
State
Louisiana
Zip
70508-3816
Phone Number
337-269-0136
Fax Number
337-233-8525
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
012306 (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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