Individual
WILLIAM SYDNEY WHYTE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
457 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 221-7246
(318) 861-1325
Mailing address
457 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 221-7246
(318) 861-1325
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
14038R
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
14038R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495964
—
LA
01
—
250013028
RAILROAD MEDICARE
LA
01
—
7891234
AETNA
LA
Enumeration date
02/06/2006
Last updated
09/27/2011
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