Individual
BENNETT PAUL DEBOISBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 PERDIDO ST, SUITE 3205, NEW ORLEANS, LA 70112-1393
(504) 568-4634
Mailing address
1901 PERDIDO ST, SUITE 3205, NEW ORLEANS, LA 70112-1393
(504) 568-4634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
016180
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD016180
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377015
—
LA
Enumeration date
06/13/2006
Last updated
11/24/2008
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