Individual
DR. BRYAN DAVID ROSEDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 BEECH SPRINGS RD, JONESBORO, LA 71251-2013
(318) 259-4435
Mailing address
165 BEECH SPRINGS RD, JONESBORO, LA 71251-2013
(318) 259-4435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.026024
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05611
—
LA
Enumeration date
05/25/2007
Last updated
07/21/2022
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