Individual
GERARDO SANTOS SAN PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 HOSPITAL DR STE 340, BOSSIER CITY, LA 71111-2387
(318) 747-2277
(318) 747-2217
Mailing address
2400 HOSPITAL DR, STE 340, BOSSIER CITY, LA 71111-2387
(318) 747-2277
(318) 747-2217
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11657R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1680877
—
LA
Enumeration date
07/16/2006
Last updated
04/22/2020
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