Individual
ROBERT M DEBELLEVUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE STE 310, KENNER, LA 70065-2474
(504) 469-3434
(504) 469-1172
Mailing address
200 W ESPLANADE AVE, STE 104, KENNER, LA 70065-2489
(504) 469-3434
(504) 469-1172
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3109
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137162
—
LA
Enumeration date
08/22/2005
Last updated
02/24/2021
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