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Individual

MR. WILLIAM H DABDOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1150 ROBERT BLVD STE 190, SLIDELL, LA 70458-2064
(985) 649-0002
(985) 649-0034
Mailing address
1150 ROBERT BLVD STE 190, SLIDELL, LA 70458-2064
(985) 649-0002
(985) 649-0034

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PD024R
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PD024R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116608
MS
05
1318400
LA
01
CN3638
RAILROAD MEDICARE
LA
01
CN3639
RAILROAD MEDICARE
MS
01
CN3640
RAILROAD MEDICARE
LA
Enumeration date
05/23/2006
Last updated
01/22/2020
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