Individual
MR. GARY JOSEPH DRAGON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
85 WHISPERWOOD BLVD, SLIDELL, LA 70458-1136
(985) 641-2866
(985) 781-5395
Mailing address
107 S MILITARY RD STE 1, SLIDELL, LA 70461-4158
(985) 641-2866
(985) 641-7998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G7147
BLUECROSS BLUESHIELD
LA
Enumeration date
06/10/2006
Last updated
02/19/2019
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