BENJAMIN GLENN KIDDER

BATON ROUGE, LA
NPI1114259975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: LA  203585)
Enumeration Date2010-02-04
Last Update Date2010-03-23
Business Address
-- BENJAMIN GLENN KIDDER MD
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810-1685
Phone number: 225-769-2200
Mailing Address
-- BENJAMIN GLENN KIDDER MD
PO BOX 98509
BATON ROUGE, LA 70884-9509
Phone number: 225-769-2200
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