Individual
WILLIAM MITCHELL MANGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4033
(504) 842-6963
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
336218
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2016
Last updated
08/09/2023
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