| NPI | 1093947905 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFERY D. LIMBOCKER CFO 225-765-6306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2011-04-15 |