Organization
WILLIAM K MASK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KENNETH MASK M.D. (MEDICAL DOCTOR)
(504) 908-0337
Entity
Organization
Contact information
Practice address
3901 HOUMA BLVD, SUITE 107, METAIRIE, LA 70006-2930
(504) 908-0337
Mailing address
3901 HOUMA BLVD, SUITE 107, METAIRIE, LA 70006-2930
(504) 908-0337
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A48451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670189
—
LA
01
—
A48451
PROFESSIONAL LICENSE
CA
Enumeration date
10/28/2008
Last updated
01/21/2015
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