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Individual

BRANDON GERARD GAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810
(225) 769-2200
(225) 768-2185
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(225) 768-2185

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
329615
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
329615
LA MD LICENSE
LA
Enumeration date
03/25/2009
Last updated
04/05/2024
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