Individual
DR. WILLIAM PATRICK COLEMAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4425 CONLIN ST, METAIRIE, LA 70006-2123
(504) 455-3180
Mailing address
4425 CONLIN ST, METAIRIE, LA 70006-2123
(504) 455-3180
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD.200588
LA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD.200588
LA
207NS0135X
Procedural Dermatology Physician
Primary
MD.200588
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4K824
MEDICARE PTAN
LA
Enumeration date
05/07/2007
Last updated
12/03/2007
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