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Individual

DR. DOUGLAS L GAMBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 443-9191
(318) 443-9190
Mailing address
224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 443-9191
(318) 443-9190

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010644
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1148148
LA
Enumeration date
07/20/2006
Last updated
07/08/2007
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