Individual
JULIE A GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
(225) 763-7644
Mailing address
17 SAN JOSE AVE, JEFFERSON, LA 70121-2238
(504) 382-2806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200257
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00339281
—
MS
05
—
1069922
—
LA
Enumeration date
12/13/2007
Last updated
05/31/2009
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