NPI | 1144577719 |
---|---|
Former Legal Business Name | IMPERIAL CALCASIEU MEDICAL GROUP LLP |
Entity Type | Organization |
Authorized Contact | TONYA RICHARD Assistant Administrator 337-312-8291 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
213E00000X Podiatrist | |
Enumeration Date | 2012-08-13 |
Last Update Date | 2017-01-16 |