Individual
BRENNA BUSSART RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Mailing address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207453
LA
207P00000X
Emergency Medicine Physician
Primary
MD.207453
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2013
Last updated
03/17/2018
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