# ROBIN DALE M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053865360
- **Authorized official:** ROBIN BARRY DALE MD (PHYSICIAN)
- **Authorized official phone:** (225) 270-8783

## Contact information

- **Practice address:** 8369 FLORIDA BLVD STE 5, DENHAM SPRINGS, LA 70726-7862
- **Practice address phone:** (225) 270-8783
- **Mailing address:** 8369 FLORIDA BLVD STE 5, DENHAM SPRINGS, LA 70726-7862
- **Mailing address phone:** (225) 270-8783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 025676 | LA | Yes |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016