| NPI | 1164946315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M LEGENDRE CFO 985-492-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-02-19 |