Individual
WILLIAM THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8325 KELWOOD AVE, BATON ROUGE, LA 70806-4804
(225) 929-7600
(225) 930-7524
Mailing address
9050 AIRLINE HWY, BATON ROUGE, LA 70815-4103
(225) 922-7034
(225) 930-7524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
035606
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1390071
—
LA
Enumeration date
10/04/2006
Last updated
08/05/2010
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