NPI 1629069034

Glynn Adam Granger, MD

Practitioner Surgery Physician Opelousas, LA

Practice location

Address: 3975 I 49 S Service Rd Suite 105, Opelousas, LA 70570-0775
Phone: (337) 948-7680
Fax: (337) 948-1143

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 011393 (LA)

Other Surgery providers in Louisiana →

Registry record

NPI: 1629069034
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2005
Record last updated: 2 Nov 2007

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.