Individual
ROBERT SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1286 DEL ESTE AVE, DENHAM SPRINGS, LA 70726-4898
(225) 667-3100
Mailing address
1286 DEL ESTE AVE, DENHAM SPRINGS, LA 70726-4898
(225) 667-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
323131
LA
Other
Enumeration date
04/10/2017
Last updated
09/24/2020
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