Individual
DR. SEAN MICHAEL GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15790 PAUL VEGA DR, HAMMOND, LA 70403-1436
(985) 230-1101
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-1617
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
313473
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
313473
LA
Other
Enumeration date
03/20/2013
Last updated
08/21/2019
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