Individual
PETER MILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2108 TEXAS AVE, SUITE 3080, ALEXANDRIA, LA 71301-3944
(318) 442-5758
(318) 445-7210
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10168R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1979201
—
LA
Enumeration date
05/24/2005
Last updated
10/19/2016
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