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Individual

DR. WILLIAM R DEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 SAINT LANDRY ST, LAFAYETTE, LA 70506-4627
(337) 289-2966
(337) 289-2776
Mailing address
5 EUREKA PLANTATION RD, LAFAYETTE, LA 70508-5511
(337) 235-0666
(337) 278-7726

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
08678R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1973718
LA
Enumeration date
07/20/2006
Last updated
11/07/2016
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