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JOHN DAVIDSON GLADNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8001 YOUREE DRIVE, SUITE 840, SHREVEPORT, LA 71115-2302
(318) 795-9100
(318) 222-8889
Mailing address
8001 YOUREE DRIVE, SUITE 840, SHREVEPORT, LA 71115-2302
(318) 795-9100
(318) 222-8889

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L015042
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1362395
LA
Enumeration date
04/25/2006
Last updated
01/11/2011
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