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Organization

WILLIAM L. EDDLEMAN, MD, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM LOY EDDLEMAN M.D. (OWNER)
(318) 213-1025
Entity
Organization

Contact information

Practice address
2751 ALBERT L BICKNELL DR, SUITE 1A, SHREVEPORT, LA 71103-3920
(318) 213-1025
(318) 213-1027
Mailing address
PO BOX 1465, SHREVEPORT, LA 71164-1465
(318) 213-1025

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
05994R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1342807
LA
Enumeration date
02/12/2007
Last updated
09/14/2007
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