| NPI | 1184671455 |
|---|---|
| Doing Business As | OLOL PHYSICIAN SURGICAL SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | TAMARA WHITE Director Of Business Services 225-765-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 208600000X Surgery |
| 208C00000X Colon & Rectal Surgery | |
| 2086S0127X Surgery, Trauma Surgery | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-02-20 |