Individual
DONALD SEVERINUS GERVAIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 NEUROSCIENCE CT, GRAY, LA 70359
(985) 917-3007
(985) 917-3010
Mailing address
128 NEUROSCIENCE CT, GRAY, LA 70359-5209
(985) 917-3007
(985) 917-3010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD.022617
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697508
—
LA
Enumeration date
06/24/2005
Last updated
04/23/2026
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