Individual
WILLIAM HENRY MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
3311 PRESCOTT RD, SUITE 105, ALEXANDRIA, LA 71301-3900
(318) 484-2667
(318) 484-2696
Mailing address
3311 PRESCOTT RD, SUITE 105, ALEXANDRIA, LA 71301-3900
(318) 484-2667
(318) 484-2696
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15241R
LA
207P00000X
Emergency Medicine Physician
40871
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165247
—
LA
Enumeration date
10/06/2006
Last updated
12/30/2008
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