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Individual

MR. WILLIAM AIRTH ROLSTON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4224 HOUMA BLVD #450A, METAIRIE, LA 70006
(504) 454-9006
(504) 456-5080
Mailing address
4224 HOUMA BLVD #450A, METAIRIE, LA 70006
(504) 454-9006
(504) 456-5080

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11699
LA
207RC0000X
Cardiovascular Disease Physician
MD011699
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1191205
LA
Enumeration date
12/08/2005
Last updated
10/15/2019
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