Individual
DR. GARY STEPHEN MCDANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8585 PICARDY AVE STE 518, BATON ROUGE, LA 70809-3748
(225) 442-3166
(225) 400-6495
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 442-3166
(225) 400-6495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.207498
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD.207498
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD.207498
LA
Other
Enumeration date
03/20/2013
Last updated
04/18/2024
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