GARY MICHAEL MALL

HAMMOND, LA
NPI1568491330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  MD.019924)
Enumeration Date2006-07-02
Last Update Date2013-12-10
Business Address
-- GARY MICHAEL MALL MD
15790 PAUL VEGA MD DR
HAMMOND, LA 70403-1434
Phone number: 985-230-1362
Mailing Address
-- GARY MICHAEL MALL MD
PO BOX 2668
HAMMOND, LA 70404-2668
Phone number: 985-230-1332
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