Organization
GLD SERVICES, LLC
Active
Other names
Gordon DuBois DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON A DUBOIS DC (PRESIDENT DOCTOR)
(504) 905-9985
Entity
Organization
Contact information
Practice address
7605 MAPLE ST, NEW ORLEANS, LA 70118-5047
(504) 861-7167
(504) 861-7168
Mailing address
PO BOX 750400, NEW ORLEANS, LA 70175
(504) 861-7167
(504) 861-7168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1007
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4825650360
BLUE CROSS BLUE SHIELD
LA
Enumeration date
04/16/2007
Last updated
06/26/2013
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