Most Relevant Information
Provider Data
| NPI Number: | 1003544636 |
| Provider Name: | STEPHANIE ANN GARY |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 5399 |
Most Important Dates
| Enumeration Date: | 08/11/2022 |
| Last Updated: | 08/11/2022 |
Provider Practice Location
540 S HUNTINGTON ST
SULPHUR
LA
706634434
Practice Location Phone/Fax
| Phone: | 3372174550 |
| Fax: |
Provider Mailing Location
540 S HUNTINGTON ST
SULPHUR
LA
706634434
Provider Mailing Phone/Fax
| Phone: | 3372174550 |
| Fax: |