GARY BERNARD MAZZANTI

SHREVEPORT, LA
NPI1174629299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine
(Licence: LA  md020779)
Additional Taxonomies207Q00000X Family Medicine
(Licence: LA  md020779)
Enumeration Date2006-09-16
Last Update Date2009-12-01
Business Address
Dr. GARY BERNARD MAZZANTI M.D.
701 JORDAN ST SUITE A
SHREVEPORT, LA 71101-4660
Phone number: 318-221-6700
Mailing Address
Dr. GARY BERNARD MAZZANTI M.D.
701 JORDAN ST SUITE A
SHREVEPORT, LA 71101-4660
Phone number: 318-221-6700