Organization
DERMATOLOGY NOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PATRICK COLEMAN IV MD (PRESIDENT)
(504) 455-3180
Entity
Organization
Contact information
Practice address
4425 CONLIN ST, METAIRIE, LA 70006-2181
(504) 455-3180
(504) 885-2512
Mailing address
4425 CONLIN ST, METAIRIE, LA 70006-2181
(504) 455-3180
(504) 885-2512
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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