Individual
DR. ROBERT CHANCE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
(318) 528-1998
(318) 767-9931
Mailing address
3311 PRESCOTT RD, SUITE 202, ALEXANDRIA, LA 71301-3900
(318) 442-0106
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14951R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158739
—
LA
01
—
1E7268
MEDICARE ID
LA
Enumeration date
11/04/2005
Last updated
04/20/2021
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