Individual
MR. RICHARD GILBERT GAY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1811 E BERT KOUN LOOP STE 210, SHREVEPORT, LA 71105-5740
(318) 212-3968
Mailing address
210 PEREGRINE WAY, BOSSIER CITY, LA 71112-2556
(601) 818-2998
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
226712
LA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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