William Wilder, Apmc

NPI 1093032237 - Clinic/Center - 261QM2500X

NPI Details
NPI 1093032237
Enumeration Date 04/28/2010
Last Updated 04/28/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TINA T TINA
Position CLINIC ADMINSTRATOR
Phone (985) 868-1810
Fax (985) 876-3670
Practice Location
12 PROFESSIONAL DR
HOUMA LA, 70360-4046, US
Phone (985) 868-1810
Fax (985) 876-3670
Business Location
12 PROFESSIONAL DR
HOUMA LA, 70360-4046, US
Phone (985) 868-1810
Fax (985) 876-3670
Toxanomy
Taxonomy Code 261QM2500X
License State Kentucky
License Number 11220
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According to our database, William Wilder, Apmc NPI is 1093032237, taxonomy code is 261QM2500X and license number is 11220, license state is located at Kentucky. William Wilder, Apmc physically located at 12 Professional Dr, Houma LA, 70360-4046. NPI Number 1033115704 has the healthcare provider type.

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1093032237 NPI number is provided on an as is basis without warranty of any kind. 1093032237 is maintained by the National Plan & Provider Enumeration System. The contents of William Wilder, Apmc are for informational purposes only.