Individual
RODNEY JOSEPH GISCLAIR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
123 FRONTAGE A RD, GRAY, LA 70359-6301
(985) 580-1200
(985) 580-1218
Mailing address
138 J -7 RANCH ROAD, RACELAND, LA 70394
(985) 532-6460
(985) 537-8282
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN079326
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06970503
MS CAID
MS
05
—
1721433
—
LA
Enumeration date
01/23/2006
Last updated
08/27/2014
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