| NPI | 1043329071 |
|---|---|
| Doing Business As | MANDEVILLE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALBERT DEVOE Business Manager 985-845-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: LA 016922) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-28 |