Individual
DR. MARITHE GABRIELLE GUTIERREZ-ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
325996
LA
207W00000X
Ophthalmology Physician
S5175
TX
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
325996
LA
207WX0120X
Cornea and External Diseases Specialist Physician
S5175
TX
Other
Enumeration date
03/30/2016
Last updated
07/28/2021
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