Individual
RENICK P WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(319) 443-9799
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(319) 443-9799
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
017368
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355356
—
LA
01
—
73553
BLUE CROSS
—
Enumeration date
10/25/2005
Last updated
03/09/2020
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