Individual
ROBERT DERENBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR STE 403, HAMMOND, LA 70403-1426
(985) 230-7350
(985) 230-7351
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.39344
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
345182
LA
Other
Enumeration date
03/23/2017
Last updated
04/28/2025
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