Individual
LEO E FUTRELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
651 N BOLTON AVE, ALEXANDRIA, LA 71301-7449
(318) 443-3511
Mailing address
420 N BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-7738
(318) 484-5205
(318) 442-3134
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
014154
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304221
—
LA
01
—
P00172212
RAILROAD MEDICARE
—
Enumeration date
08/26/2005
Last updated
01/28/2013
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