Individual
BENJAMIN GRUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Mailing address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101282275
VA
207P00000X
Emergency Medicine Physician
330275
LA
Other
Enumeration date
04/23/2018
Last updated
08/16/2024
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