Individual
GERARD DAYLE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2449 HOSPITAL DR, STE 280, BOSSIER CITY, LA 71111-1900
(318) 212-7850
(318) 841-4008
Mailing address
2449 HOSPITAL DR, STE 280, BOSSIER CITY, LA 71111-1900
(318) 212-7850
(318) 841-4008
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15041R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179876
—
LA
01
—
P00144298
RAILROAD MEDICARE
LA
Enumeration date
06/22/2005
Last updated
03/16/2017
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