SearchLouisiana207Q00000X

Gordon Massengale, M.D

NPI 1255331443 · on the registry since 2005 · sole proprietor

Practice

Address
111 Christian Dr
Rayville, LA 71269
Phone
(318) 728-3263
Fax
(318) 728-3095
Organisation at this address
Gordon B Massengale A Medical Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana