Individual
MR. BRYAN KEITH STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBCHIS
Contact information
Practice address
700 WESTBANK EXPY, GRETNA, LA 70053-5623
(504) 362-4556
(504) 361-3195
Mailing address
700 WESTBANK EXPY, GRETNA, LA 70053-5623
(504) 362-4556
(504) 361-3195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
919
LA
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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