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Individual

RYAN GARY MASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1811 E BERT KOUNS, SUITE 210, SHREVEPORT, LA 71105
(318) 212-3858
(318) 212-3958
Mailing address
1811 E BERT KOUN LOOP STE 210, SHREVEPORT, LA 71105-5740

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
303263
LA
207RI0011X
Interventional Cardiology Physician
Primary
303263
LA
207RI0011X
Interventional Cardiology Physician
P6028
TX

Other

Enumeration date
07/10/2009
Last updated
07/08/2021
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