Organization
GPN-LEESVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BEDDOE (CEO)
(337) 936-8920
Entity
Organization
Contact information
Practice address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-9041
Mailing address
504 TEXAS ST STE 200, SHREVEPORT, LA 71101-3526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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