Individual
SUSAN J BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3434 HOUMA BLVD STE 301, METAIRIE, LA 70006-4201
(504) 635-2601
(504) 324-2078
Mailing address
29301 N DIXIE RANCH RD, LACOMBE, LA 70445
(985) 871-4114
(985) 871-4130
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
021783
LA
208VP0000X
Pain Medicine Physician
Primary
021783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1691496
—
LA
Enumeration date
02/27/2006
Last updated
12/30/2021
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