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Individual

DR. BENJAMIN B. CLOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 PECAN PARK AVE, ALEXANDRIA, LA 71303-3361
(318) 445-6221
(318) 445-5399
Mailing address
201 PECAN PARK AVE, ALEXANDRIA, LA 71303-3361
(318) 445-6221
(318) 445-5399

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
019414
LA
207R00000X
Internal Medicine Physician
MD.019414
LA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD.019414
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1951650
LA
Enumeration date
06/23/2005
Last updated
10/08/2025
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