Individual
DR. GREGORY C SAMPOGNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2516 BROADMOOR BLVD, MONROE, LA 71201-2988
(318) 322-7726
(318) 322-2614
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11645R
LA
207RI0011X
Interventional Cardiology Physician
Primary
11645R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497827
—
LA
01
—
P01403345
RAILROAD MEDICARE
LA
Enumeration date
10/03/2006
Last updated
10/26/2023
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