Individual
EDMUND OGDEN SPILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 S MORRISON BLVD, HAMMOND, LA 70403-5742
(985) 230-5800
(985) 230-5859
Mailing address
1902 S MORRISON BLVD, HAMMOND, LA 70403-5742
(985) 230-5800
(985) 230-5859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.011342
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1327280
—
LA
Enumeration date
06/15/2006
Last updated
04/29/2008
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