Individual
DR. DAVID M WALSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 MCMILLAN RD, WEST MONROE, LA 71291-5321
(318) 387-6622
(318) 387-6030
Mailing address
201 MCMILLAN RD, WEST MONROE, LA 71291-5321
(318) 387-6622
(318) 387-6030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
013630
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307360
—
LA
01
—
1356446801
LA DERMATOLOGY GROUP #
LA
Enumeration date
03/22/2006
Last updated
04/20/2008
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