Individual
DR. ROBERT FORTIER BENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,N.D.,CCN
Contact information
Practice address
445 SECURITY SQ, GULFPORT, MS 39507-1922
(228) 897-2337
(228) 897-2316
Mailing address
445 SECURITY SQ, P. O. BOX 6055, GULFPORT, MS 39506-6055
(228) 897-2337
(228) 897-2316
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
018864
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
13456
MS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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