Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 05303R | LA |
NPI | 1013992825 |
---|---|
Provider Name | William D Binder |
First Address | Baton Rouge, LA 70817-5126 |
Second Address | Baton Rouge, LA 70817-5126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 27/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1340120 | (05) | LA |
B62094 | (02) | LA |