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Individual

BRANDON SALGADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Mailing address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
307846
LA
208000000X
Pediatrics Physician
Primary
Q4271
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2189131
LA
Enumeration date
04/09/2012
Last updated
05/04/2021
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