Individual
DR. GERARD FRANCIS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 GAUSE BLVD E, STE. 301, SLIDELL, LA 70461-5442
(985) 646-4400
(985) 646-4408
Mailing address
1850 GAUSE BLVD E, STE. 301, SLIDELL, LA 70461-5442
(985) 646-4400
(985) 646-4408
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
016673
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040003773
RAILROAD MEDICARE
LA
05
—
1345181
—
LA
Enumeration date
10/26/2006
Last updated
05/29/2008
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