Individual
DR. BENJAMIN R DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 409, BATON ROUGE, LA 70808-4365
(225) 765-5864
(225) 765-2013
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5864
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2015-0617
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
324895
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A147582
CA
390200000X
Student in an Organized Health Care Education/Training Program
RS2012-0502
NM
Other
Enumeration date
05/23/2012
Last updated
07/31/2023
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