Individual
DR. EDWARD DANIEL WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 EAST PRUDHOMME ST, OPELOUSAS, LA 70570
(337) 942-6883
(337) 942-6883
Mailing address
539 EAST PRUDHOMME ST, OPELOUSAS, LA 70570
(337) 942-6883
(337) 942-6883
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD014114
LA
Other
Enumeration date
05/19/2006
Last updated
04/27/2011
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