Individual
WILLIAM F ENTRIKEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8000
Mailing address
PO BOX 22505, JACKSON, MS 39225-2505
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P0047
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
14207
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115484
—
MS
Enumeration date
09/09/2005
Last updated
12/11/2024
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