WILLIAM MABRY WILDER

SHREVEPORT, LA
NPI1063522027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: LA  8678)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Dr. WILLIAM MABRY WILDER MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Dr. WILLIAM MABRY WILDER MD
467 RAILSBACK ST
SHREVEPORT, LA 71106-7725
Phone number: 318-797-8689