Individual
BENJAMIN NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-5283
(318) 769-5213
Mailing address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-5283
(318) 769-5213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD207007
LA
Other
Enumeration date
04/09/2012
Last updated
01/26/2016
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