Individual
DR. WILLIAM R CONDOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 OAK PARK BLVD, FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-3278
(337) 494-3240
Mailing address
1717 OAK PARK BLVD, FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-3278
(337) 494-3240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
08677R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1915823
—
LA
Enumeration date
05/24/2005
Last updated
04/04/2008
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