Individual
GREGORY STEFAN BEVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3802 PRESCOTT RD, ALEXANDRIA, LA 71301-3731
(318) 487-6060
(318) 880-0359
Mailing address
3802 PRESCOTT RD, ALEXANDRIA, LA 71301-3731
(318) 487-6060
(318) 880-0359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025432
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577910
—
LA
Enumeration date
12/09/2005
Last updated
12/11/2009
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