Individual
DR. GUY EMILIO BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 HIGHLAND AVE, SHREVEPORT, LA 71101-4143
(318) 222-6226
(318) 221-8526
Mailing address
221 POYDRAS AVE, BOSSIER CITY, LA 71111-2550
(318) 222-6226
(318) 221-8526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
022555
LA
2084P0800X
Psychiatry Physician
Primary
022555
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14938505
—
LA
Enumeration date
03/21/2006
Last updated
10/17/2019
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