Individual
DR. GREGORY SCOTT SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
(318) 219-4834
Mailing address
10191 TRAILRIDGE DR, SHREVEPORT, LA 71106-7651
(318) 222-6226
(318) 221-8526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021174
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465682
—
LA
Enumeration date
05/10/2006
Last updated
01/19/2016
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