Organization
CHRIS L GRANGER M D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LEE GRANGER M.D. (PHYSICIAN)
(337) 463-8977
Entity
Organization
Contact information
Practice address
403 W 8TH ST, DERIDDER, LA 70634-5507
(337) 463-8977
Mailing address
403 W 8TH ST, DERIDDER, LA 70634-5507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000.31
LA
Other
Enumeration date
11/08/2007
Last updated
12/06/2011
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