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Individual

GERARD GUIDRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
020598
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1684856
LA
01
MD.020598
STATE LICENSE
LA
Enumeration date
03/23/2006
Last updated
04/27/2022
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