Individual
MR. GREGORY PETER FOUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 S CAPITOL ST, MANY, LA 71449-3049
(318) 256-2000
(318) 256-6237
Mailing address
395 S CAPITOL ST, MANY, LA 71449-3049
(318) 256-2000
(318) 256-6237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013309
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158135
—
LA
Enumeration date
07/15/2006
Last updated
07/08/2007
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