W MITCHELL WILDER

WEST MONROE, LA
NPI1730120312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: LA  md018998)
Enumeration Date2006-06-08
Last Update Date2016-06-16
Business Address
-- W MITCHELL WILDER md
503 MCMILLAN RD RADIOLOGY DEPARTMENT
WEST MONROE, LA 71291-5327
Phone number: 318-388-2646
Mailing Address
-- W MITCHELL WILDER md
PO BOX 1339
WEST MONROE, LA 71294-1339
Phone number: 318-388-2646