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Individual

MR. ALBERT J GROS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3983 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 407-4512
(800) 207-6956
Mailing address
PO BOX 69, OPELOUSAS, LA 70571-0069
(337) 284-3200
(800) 207-6956

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
025990
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD.025590
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1049999
LA
05
1574881
LA
Enumeration date
06/15/2006
Last updated
04/08/2025
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