Individual
LEONARD GREGORY BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2449 HOSPITAL DR, SUITE 260, BOSSIER CITY, LA 71111-2399
(318) 212-7840
(318) 212-7845
Mailing address
2449 HOSPITAL DR, SUITE 260, BOSSIER CITY, LA 71111-2399
(318) 212-7840
(318) 212-7845
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
021950
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060901802
—
TX
05
—
1538515
—
LA
Enumeration date
06/21/2006
Last updated
06/18/2021
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