Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY BERNARD MAZZANTI, M.D.
Active Sole ProprietorDR. GARY BERNARD MAZZANTI, M.D. is a 207PE0005X healthcare provider located in SHREVEPORT, Louisiana. NPI 1174629299 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · SHREVEPORT, LA
Registration Details
- NPI Number
- 1174629299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.914066907581 yrs)
- Last Updated
- Dec 1, 2009
- Licenses
-
MD020779 (LA)MD020779 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 JORDAN STSUITE ASHREVEPORT, LA, 711014660Browse LA providers · Browse ZIP 71101
- Phone
- 3182216700
- Fax
- 3182216701
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- Family Medicine
Other 207PE0005X Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. VICTORIA L EVERTON | M.D. | 1952339038 |
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.