Individual
BENJAMIN PASCHAL HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 AUDUBON DR, RUSTON, LA 71270-8589
(318) 255-8879
Mailing address
410 AUDUBON DR, RUSTON, LA 71270-8589
(318) 255-8879
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9529
LA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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