Individual
DR. EDWARD RAY VILLEMEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5413 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2322
(318) 445-8009
Mailing address
5413 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2322
(318) 445-8009
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
008794
LA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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