| NPI | 1174624712 |
|---|---|
| Doing Business As | VASCULAR CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON V SCHELLACK President 225-767-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |