| NPI | 1043565823 |
|---|---|
| Doing Business As | OAKDALE PHYSICIAN PRACTICE |
| Doing Business As | OAKDALE FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUZETTE FATULA CFO 318-215-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-06-16 |