Organization
WILLIAM H MATTHEWS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ROBERTS (BILLING MGR)
(318) 396-2715
Entity
Organization
Contact information
Practice address
102 THOMAS RD STE 104, WEST MONROE, LA 71291-7365
(318) 323-1559
(318) 325-5084
Mailing address
3308 DEBORAH DR, MONROE, LA 71201-2151
(318) 325-7431
(318) 325-2123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016854
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1367079
—
LA
Enumeration date
12/11/2007
Last updated
12/11/2007
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