Individual
DR. STEPHEN BERNARD MANALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1014 WEST ST. CLARE BLVD, SUITE 3015, GONZALES, LA 70737-2141
(225) 743-2455
(225) 743-2460
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200129
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295073
—
LA
Enumeration date
06/15/2005
Last updated
01/22/2021
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