Individual
DR. BRADLEY KEITH FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1890 W GAUTHIER RD STE 140, LAKE CHARLES, LA 70605-7179
(337) 480-5570
(337) 480-5581
Mailing address
PO BOX 122534 DEPT 2534, DALLAS, TX 75312-2534
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
202315
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196754
—
LA
01
—
MD.202315
STATE MEDICAL LICENSE
LA
Enumeration date
03/05/2007
Last updated
04/27/2022
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