Individual
CANDACE STEVENS ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5189
Mailing address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.200948
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02254826
—
MS
05
—
09195
—
LA
05
—
1091952
—
LA
Enumeration date
10/04/2007
Last updated
03/01/2012
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