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Individual

ROBERT BRUCE GOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 LAMY LN, MONROE, LA 71201-3735
(318) 387-3453
(318) 323-9045
Mailing address
1601 LAMY LN, MONROE, LA 71201-3735
(318) 387-3453
(318) 323-9045

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012714
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1197971
RAILROAD MEDICARE
LA
05
1197971
LA
Enumeration date
06/30/2006
Last updated
12/04/2007
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