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NPI Code Detail

MEDICARE: WILLIAM W HARKRIDER JR. MD

MEDICARE:   WILLIAM W HARKRIDER JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician01-2718LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144222563
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM W HARKRIDER JR. MD
Provider Business Mailing Address
First Line : 602 N LEWIS ST
Second Line : STE 100
City : NEW IBERIA
State : LA
Zip : 70563-2093
Country : US
Telephone Number : 337-364-7226
Fax Number : 337-364-7238
Provider Business Practice Location Address
First Line : 602 N LEWIS ST
Second Line : STE 100
City : NEW IBERIA
State : LA
Zip : 70563-2093
Country : US
Telephone Number : 337-364-7226
Fax Number : 337-364-7238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/19/2007

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Directions to “ WILLIAM W HARKRIDER JR. MD” Practice Location

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