Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON L BLUNDELL JR., MD
Active Sole ProprietorDR. GORDON L BLUNDELL JR., MD is a Psychiatry healthcare provider located in MADISONVILLE, Louisiana. NPI 1003091729 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · MADISONVILLE, LA
Registration Details
- NPI Number
- 1003091729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2007 (18.573610484366 yrs)
- Last Updated
- Dec 31, 2007
- Licenses
-
015764 (LA)015764 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
179 HWY 22 EASTSUITE 100MADISONVILLE, LA, 70447Browse LA providers · Browse ZIP 70447
- Phone
- 9858458101
- Fax
- 9858458130
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.