person
Gregory W Bryan, DPM
Foot Surgery Podiatrist in Shreveport, Louisiana
NPI 1528035888

Gregory W Bryan is a Foot Surgery Podiatrist based in Shreveport, LA and is specialized in Foot Surgery. Gregory W Bryan practices in Shreveport, LA and has the professional credentials of DPM. The NPI Number for Gregory W Bryan is 1528035888 and holds a License No. PD067R (Louisiana).

The current practice location address for Gregory W Bryan is 385 Bert Kouns, Shreveport, LA and can be reached out via phone at 318-687-8447 and via fax at 318-687-9950. You can also correspond with Gregory W Bryan through the mailing address at 385 BERT KOUNS, SHREVEPORT, LA - 71106-8158 (mailing address contact number: 318-687-8447).

Location: 385 Bert Kouns, Shreveport, LA, 71106-8158
person
Provider Profile Details
NPI Number
1528035888
Provider Name
Gregory W Bryan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
385 Bert Kouns, Shreveport, LA, 71106-8158
Phone Number
318-687-8447
Fax Number
318-687-9950
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1382850 05 LA
institution
Provider Business Practice Location Address Details
Address
385 Bert Kouns
City
State
Zip
71106-8158
Phone Number
318-687-8447
Fax Number
318-687-9950
person
Provider Business Mailing Address Details
Address
385 Bert Kouns
City
State
Zip
71106-8158
Phone Number
318-687-8447
Fax Number
318-687-9950
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
PD067R (Louisiana)
Definition
Definition to come...
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