Individual
OTTO F VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201
(318) 966-4541
(318) 966-4543
Mailing address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4541
(318) 966-4543
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
EL101026
ME
207RP1001X
Pulmonary Disease Physician
151648
MA
207RP1001X
Pulmonary Disease Physician
40392
OK
207RP1001X
Pulmonary Disease Physician
Primary
C134908
CA
207RP1001X
Pulmonary Disease Physician
LT3198
NH
207RP1001X
Pulmonary Disease Physician
OR51238
CO
Other
Enumeration date
10/14/2005
Last updated
08/21/2023
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