Individual
GREGG K ARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
Mailing address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
24749
KY
207L00000X
Anesthesiology Physician
Primary
MD017213
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1622257
—
LA
05
—
64247497
—
KY
Enumeration date
09/05/2006
Last updated
02/22/2019
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