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Individual

MATTHEW DIMMICK WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(855) 270-5479
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(855) 270-5479

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M3793
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD.25597
MEDICAL LICENSE
LA
Enumeration date
08/07/2006
Last updated
11/29/2016
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