Individual
DR. VERNON WILLIAM CANTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 397-1274
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019173
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365670
—
LA
Enumeration date
05/23/2006
Last updated
05/09/2019
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