| NPI | 1053317016 |
|---|---|
| Doing Business As | PHYSICIAN PRACTICES |
| Entity Type | Organization |
| Authorized Contact | JAMES B JUNEAU Authorized Official 337-942-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-11-08 |