Individual
GAYLON DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2508 BERT KOUNS LOOP, SUITE 207, SHREVEPORT, LA 71118-3133
(318) 212-5343
(318) 212-5343
Mailing address
2508 BERT KOUNS LOOP, SUITE 207, SHREVEPORT, LA 71118-3133
(318) 212-5343
(318) 212-5360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
011602
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329258
—
LA
Enumeration date
03/16/2006
Last updated
12/13/2007
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