| NPI | 1104146661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. ST. MARTIN Physician/Owner 985-857-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 021376) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |