Individual
GARY BRYAN FILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 W SHAMROCK AVE UNIT 1, PINEVILLE, LA 71360-6439
(318) 484-6850
Mailing address
4501 JACKSON ST EXT STE C, ALEXANDRIA, LA 71303-2555
(318) 484-6850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
303848
LA
Other
Enumeration date
06/18/2010
Last updated
11/16/2016
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