Individual
BENJAMIN MARCUS FEIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105-5634
(318) 798-4623
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105-6000
(318) 798-4623
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
125.077385
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
330076
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2416405
—
LA
Enumeration date
04/01/2016
Last updated
02/10/2023
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