Individual
MR. GARY PAUL MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MEDICAL CENTER DR, SUITE 200, ALEXANDRIA, LA 71301-8124
(318) 487-1289
(318) 487-1254
Mailing address
5705 COURTLAND PL, ALEXANDRIA, LA 71301-2665
(318) 443-2029
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019448
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912140
—
LA
Enumeration date
11/15/2005
Last updated
04/01/2008
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