Individual
DR. ROBERT P GUILBAULT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 630-9618
(985) 231-7010
Mailing address
521 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 630-9618
(985) 231-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.12621R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1541907
—
LA
Enumeration date
05/04/2006
Last updated
03/21/2018
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