Individual
DR. PAULA M WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4608 HIGHWAY 1, RACELAND, LA 70394-2623
(985) 537-6841
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD 202726
LA
2084P0800X
Psychiatry Physician
Primary
MD.202726
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02924542
—
MS
05
—
1035921
—
LA
Enumeration date
02/25/2008
Last updated
02/24/2011
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