Organization
ROBIN DALE M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BARRY DALE MD (PHYSICIAN)
(225) 270-8783
Entity
Organization
Contact information
Practice address
8369 FLORIDA BLVD STE 5, DENHAM SPRINGS, LA 70726-7862
(225) 270-8783
Mailing address
8369 FLORIDA BLVD STE 5, DENHAM SPRINGS, LA 70726-7862
(225) 270-8783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025676
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048445
—
LA
Enumeration date
08/04/2016
Last updated
08/04/2016
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