Individual
WILLIAM BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1850 GAUSE BLVD E, SUITE 202, SLIDELL, LA 70461-5442
(985) 639-3777
(985) 661-3515
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD.202733
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07156869
—
MS
05
—
1507709
—
LA
Enumeration date
03/09/2008
Last updated
11/14/2016
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