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Individual

DR. WILLIAM STEWART BUNDRICK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2449 HOSPITAL DR, SUITE 280, BOSSIER CITY, LA 71111-2399
(318) 841-4004
(318) 841-4008
Mailing address
2449 HOSPITAL DR, SUITE 280, BOSSIER CITY, LA 71111-2394
(318) 841-4004
(318) 841-4008

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
020454
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1397571
LA
Enumeration date
06/05/2006
Last updated
06/21/2021
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