William R Condos JR. M.D.

NPI 1013910801 - Internal Medicine - 207RC0000X

NPI Details
NPI 1013910801
Gender Male
Enumeration Date 05/24/2005
Last Updated 04/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1717 OAK PARK BLVD
FL 2
LAKE CHARLES LA, 70601-8990, US
Phone (337) 494-3278
Fax (337) 494-3240
Business Location
1717 OAK PARK BLVD
FL 2
LAKE CHARLES LA, 70601-8990, US
Phone (337) 494-3278
Fax (337) 494-3240
Toxanomy
Taxonomy Code 207RC0000X
License State Louisiana
License Number 08677R
Remove 1013910801 NPI Number
 

According to our database, Dr. William R Condos JR. M.D. NPI is 1013910801, taxonomy code is 207RC0000X and license number is 08677R, license state is located at Louisiana. William R Condos JR. M.D. physically located at 1717 Oak Park Blvd, Lake Charles LA, 70601-8990. NPI Number William R Condos JR. M.D. has the Individual type.

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1013910801 NPI number is provided on an as is basis without warranty of any kind. 1013910801 is maintained by the National Plan & Provider Enumeration System. The contents of William R Condos JR. M.D. are for informational purposes only.