Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | L024150 | LA |
N | 207R00000X | Internist | 024150 | LA |
N | 111NI0900X | Internist | 024150 | LA |
N | 2081S0010X | Sports Medicine | L024150 | LA |
N | 213ES0000X | Sports Medicine | L024150 | LA |
NPI | 1427036656 |
---|---|
Provider Name | Dr. William W Alden |
First Address | Marrero, LA 70072-3245 |
Second Address | Marrero, LA 70072-3245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 08/07/2007 |