NPI | 1144573098 |
---|---|
Entity Type | Organization |
Authorized Contact | JERYL L REISER-PARMENTER Manager 504-609-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: LA DO.000184) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2015-02-01 |