Individual
CHESTER BABSON FRESH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3606
(318) 443-4576
(318) 449-5579
Mailing address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3606
(318) 443-4576
(318) 449-5579
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11999
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172138
—
LA
Enumeration date
07/13/2005
Last updated
07/08/2007
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