Individual
DR. BRENDA L MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 N TRENTON ST, RUSTON, LA 71270-3840
(318) 255-4112
(318) 251-8727
Mailing address
PO BOX 13082, RUSTON, LA 71273-3082
(318) 255-4112
(318) 251-8727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00042179
WA
208000000X
Pediatrics Physician
Primary
MD202561
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343072
—
LA
Enumeration date
06/12/2006
Last updated
01/08/2017
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