Individual
GREGORY LOUIS GROGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 GAUSE BLVD, SUITE 370, SLIDELL, LA 70458-2951
(985) 726-0026
(985) 726-0024
Mailing address
857 BROWNSWITCH RD, SUITE 313, SLIDELL, LA 70458-5335
(985) 726-0026
(985) 726-0024
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
08643R
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17361
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17361
MEDICAL LICENSE
MS
05
—
1972614
—
LA
Enumeration date
07/14/2006
Last updated
03/01/2021
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