Individual
GREGORY D CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GALLERIA BLVD STE 110, METAIRIE, LA 70001-8501
(504) 708-4400
Mailing address
1 GALLERIA BLVD STE 110, METAIRIE, LA 70001-8501
(504) 708-4400
(504) 708-4410
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
18022
MS
2086S0129X
Vascular Surgery Physician
Primary
MD200466
LA
390200000X
Student in an Organized Health Care Education/Training Program
200466
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090735
—
LA
05
—
7906270
—
MS
Enumeration date
07/27/2007
Last updated
05/18/2022
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