Individual
DR. GREGORY J ARDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 4TH ST, 1A, ALEXANDRIA, LA 71301-8421
(318) 769-5864
(318) 769-3910
Mailing address
201 4TH ST STE 1A, ALEXANDRIA, LA 71301-8421
(318) 769-5864
(318) 769-3910
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
017631
LA
207RP1001X
Pulmonary Disease Physician
Primary
017631
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385425
—
LA
Enumeration date
10/13/2006
Last updated
05/11/2011
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