NPI 1013494186
Gpn-Leesville, LLC
Practice location
- Address
- 1020 W Fertitta Blvd, Leesville, LA 71446-4645
- Phone
- (337) 239-9041
- Mailing address
- PO Box 722345, Norman, OK 73070-8774
Authorised official
- Name
- Chris Beddoe
- Title
- Ceo
- Phone
- (318) 256-5691
Registered specialties (3)
Hospitalist Physician
Primary
Anatomic Pathology & Clinical Pathology Physician
Diagnostic Radiology Physician
Registry record
- NPI
- 1013494186
- Entity type
- Organization
- NPI issued
- 23 Jul 2018
- Record last updated
- 23 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.