Individual
MR. GARY J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 ODESSA RD, DUSON, LA 70529-4437
(337) 288-6777
Mailing address
120 ODESSA RD, DUSON, LA 70529-4437
(337) 288-6777
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
35330341K
LA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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