| NPI | 1013486059 |
|---|---|
| Doing Business As | STEWARD MEDICAL GROUP OF LOUISIANA |
| Entity Type | Organization |
| Authorized Contact | JONATHAN A DEMKE CEO 615-467-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |