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Individual

DR. RAFAEL O ROBLEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2412
(985) 542-6251
(985) 345-2386
Mailing address
PO BOX 1799, HAMMOND, LA 70404-1799
(985) 542-6251
(985) 345-2386

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203282
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507636
LA
01
1942389986
GROUP NPI #
LA
Enumeration date
05/23/2007
Last updated
08/23/2021
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