Individual
DR. WILLIAM BIVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 464-8643
(504) 464-8147
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
21143
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
312381
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT197887
PA
Other
Enumeration date
04/03/2012
Last updated
09/19/2022
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