| NPI | 1205312592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WHIPPLE Physician 985-381-9517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.207005) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-08-19 |