Individual
DR. ROBERT GLYNN PEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 BOLIVAR ST, SUITE 566, NEW ORLEANS, LA 70112-1349
(504) 568-4785
(504) 568-4460
Mailing address
533 BOLIVAR STREET, SUITE 566, NEW ORLEANS, LA 70112
(504) 568-4785
(504) 568-4460
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
11011
LA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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