Individual
MRS. ANN ELIZABETH BUBENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2226 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 561-0003
(318) 561-0038
Mailing address
2226 WORLEY DR, ALEXANDRIA, LA 71301
(318) 561-0003
(318) 561-0038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15537R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477257
—
LA
Enumeration date
11/16/2005
Last updated
02/09/2017
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