Individual
ROBIN RAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 4TH ST STE 5A, ALEXANDRIA, LA 71301-8421
(318) 483-1961
(318) 483-1964
Mailing address
301 4TH ST STE 30105, ALEXANDRIA, LA 71301-8420
(318) 483-1961
(318) 483-1964
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
014865
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366072
—
LA
Enumeration date
08/24/2005
Last updated
07/17/2024
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