| NPI | 1134348162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOIRA LYNN OGDEN President 985-868-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 023805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 023805) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-05-01 |